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Individual

DR. VESTINIA MADONNA BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8926 WOODYARD ROAD, SUITE 701, CLINTON, MD 20735
(301) 856-1682
(301) 856-0964
Mailing address
8926 WOODYARD ROAD, SUITE 701, CLINTON, MD 20735
(301) 856-1682
(301) 856-0964

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101231874
VA
207X00000X
Orthopaedic Surgery Physician
D0052474
MD
207X00000X
Orthopaedic Surgery Physician
MD30799
DC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101231874
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0052474
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46950011
BCBS NCA PROVIDER#
DC
01
P00109905
MEDICARE RAILROAD PTAN #
Enumeration date
07/07/2006
Last updated
01/28/2013
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