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Organization

HEART CENTER OF SOUTHERN MARYLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GOPALAKRISHNAN SRINIVASAN M.D (CEO)
(301) 645-4793
Entity
Organization

Contact information

Practice address
3510 OLD WASHINGTON RD, SUITE 100, WALDORF, MD 20602-3233
(301) 645-4793
Mailing address
3510 OLD WASHINGTON RD, SUITE 100, WALDORF, MD 20602-3233

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MD

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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