Organization
CAROLYN B. HENDRICKS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY J ROSEMOND (PRACTICE MANAGER)
(301) 897-1503
Entity
Organization
Contact information
Practice address
6410 ROCKLEDGE DR, SUITE 506, BETHESDA, MD 20817-7822
(301) 897-1503
(301) 581-0254
Mailing address
6410 ROCKLEDGE DR, SUITE 506, BETHESDA, MD 20817-1809
(301) 897-1503
(301) 581-0254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0037236
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212579
UNITED HEALTHCARE
MD
01
—
4318989
AETNA PROVIDER NUMBER
MD
01
—
470CCB
CAREFIRST BCBS
MD
01
—
670109
MAMSI
MD
01
—
N060 0001
BCBS NCA FEP
MD
Enumeration date
11/13/2006
Last updated
01/04/2011
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