Organization
MALCOLM GROW MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA M ERMOLD PH.D. (STAFF PSYCHOLOGIST)
(240) 857-0168
Entity
Organization
Contact information
Practice address
1050 W PERIMETER RD, 79MDOS-SGOHY, ANDREWS AFB, MD 20762-6601
(240) 857-0168
Mailing address
1050 W PERIMETER RD, 79MDOS-SGOHY, ANDREWS AFB, MD 20762-6601
(240) 857-0168
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
0810003522
VA
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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