Organization
GERALD FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY STEWART (BILLING MANAGER)
(301) 773-3752
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, STE 117, WASHINGTON, DC 20017-2107
(202) 832-7007
(202) 529-5290
Mailing address
PO BOX 75492, BALTIMORE, MD 21275-5492
(301) 773-3752
(202) 529-5290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8702
BCBS
DC
Enumeration date
07/19/2007
Last updated
12/11/2007
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