Organization
MARYLAND PRIMARY CARE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT ENOW TAKEM (MD)
(240) 408-6286
Entity
Organization
Contact information
Practice address
3921 FERRARA DR, SILVER SPRING, MD 20906-4709
(301) 946-6420
Mailing address
3921 FERRARA DR, SILVER SPRING, MD 20906-4709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
924025000
—
MD
05
—
924034900
—
MD
Enumeration date
12/23/2024
Last updated
12/23/2024
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