Organization
OLDE TOWNE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHA BAFI SALEEM MD (MANAGING OWNER)
(202) 316-4407
Entity
Organization
Contact information
Practice address
317 E DIAMOND AVE, C1, GAITHERSBURG, MD 20877-3093
(240) 246-1111
Mailing address
317 E DIAMOND AVE, C1, GAITHERSBURG, MD 20877-3093
(240) 246-1111
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
10/25/2016
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