Individual
LUKE E TERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 CENTRAL AVE STE 204, HYATTSVILLE, MD 20785-4868
(301) 333-3770
(301) 333-3779
Mailing address
8700 CENTRAL AVE, STE 204, INTEGRATED MEDICAL CENTER, LLC, HYATTSVILLE, MD 20785
(301) 333-3770
(301) 333-3779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0015144
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220581500
—
MD
Enumeration date
03/17/2006
Last updated
07/28/2014
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