Organization
GWENDOLYN V YOUNGBLOOD, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN VIRGINIA YOUNGBLOOD MD (OWNER)
(301) 441-4555
Entity
Organization
Contact information
Practice address
7525 GREENWAY CENTER DR STE 311, GREENBELT, MD 20770-3525
(301) 441-4555
(301) 441-3420
Mailing address
7525 GREENWAY CENTER DR STE 311, GREENBELT, MD 20770-3525
(301) 441-4555
(301) 441-3420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195661201
—
MD
Enumeration date
12/20/2018
Last updated
12/20/2018
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