Organization
ANTIOCH PRIMARY CARE LLC
Active
Other names
Antioch Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JONITA CONNER MD (PRESIDENT)
(240) 473-1090
Entity
Organization
Contact information
Practice address
4700 BERWYN HOUSE RD, COLLEGE PARK, MD 20740
(240) 473-1090
Mailing address
4700 BERWYN HOUSE RD, COLLEGE PARK, MD 20740
(240) 473-1090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
05/28/2008
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