Organization
THOMAS E. DOOLEY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E DOOLEY MD (PHYSICIAN/OWNER)
(301) 924-2790
Entity
Organization
Contact information
Practice address
17904 GEORGIA AVE, SUITE #304, OLNEY, MD 20832-2239
(301) 924-2790
(301) 924-1631
Mailing address
17904 GEORGIA AVE, SUITE #304, OLNEY, MD 20832-2239
(301) 924-2790
(301) 924-1631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0016458
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04528011
UNITED HEALTHCARE
MD
01
—
309640 01
BC/BS OF MARYLAND
—
01
—
4050595
AETNA/US HEALTHCARE
—
01
—
875529
MAMSI
MD
01
—
9094 0001
FEDERAL BLUE SHIELD
MD
Enumeration date
05/28/2008
Last updated
06/20/2008
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