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Organization

GREENBELT MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARD RAIS FARZIN M.D. (OWNER)
(301) 441-1800
Entity
Organization

Contact information

Practice address
7525 GREENWAY CENTER DR STE T3, GREENBELT, MD 20770-3527
(301) 441-1800
(301) 474-8979
Mailing address
7525 GREENWAY CENTER DR STE T3, GREENBELT, MD 20770-3527
(301) 441-1800
(301) 474-8979

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0055075
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5704
BLUE CROSS BLUE SHIELD
DC
01
DG3845
RAILROAD/MEDICARE
MD
01
OF31
CAREFIRST BCBS
MD
Enumeration date
11/16/2006
Last updated
01/16/2008
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