Organization
WALDORF INTEGRATED HEALTHCARE, LLC
Active
Other names
New Market Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN BARKER CMM (OFFICE MANAGER)
(301) 645-9551
Entity
Organization
Contact information
Practice address
29015 THREE NOTCH RD, SUITE 1-A, MECHANICSVILLE, MD 20659-3228
(301) 290-5285
(301) 290-5287
Mailing address
PO BOX 1565, WALDORF, MD 20604-1565
(301) 645-9551
(301) 645-0039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2006
Last updated
10/26/2007
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