Organization
SUBURBAN SPECIALTY CARE PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G POFFENROTH (PRESIDENT)
(301) 581-2200
Entity
Organization
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-7596
(301) 530-7989
Mailing address
PO BOX 79049, BALTIMORE, MD 21279-0049
(412) 826-1065
(412) 826-1491
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/13/2006
Last updated
02/08/2008
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