Organization
PREVENTIVE CARE NETWORK SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HERRY (MEDICAL CODER/BILLER)
(301) 868-7333
Entity
Organization
Contact information
Practice address
9001 WOODYARD RD STE C, CLINTON, MD 20735
(301) 868-7333
(301) 868-9023
Mailing address
9001 WOODYARD RD STE C, CLINTON, MD 20735-4264
(301) 868-7333
(301) 868-9023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183731100
—
MD
Enumeration date
01/02/2007
Last updated
08/29/2025
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