Organization
GOLDSTAR FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA NGWISAH BOLIMA FNP (OWNER)
(301) 792-3798
Entity
Organization
Contact information
Practice address
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
(301) 792-3797
Mailing address
14408 BURSLEM TER, BURTONSVILLE, MD 20866-2014
(301) 792-3797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
09/10/2025
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