Organization
ICU PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL KLEIMAN (PRESIDENT)
(301) 203-2232
Entity
Organization
Contact information
Practice address
11711 LIVINGSTON RD, FORT WASHINGTON, MD 20744-5151
(301) 203-2232
(301) 203-2054
Mailing address
PO BOX 441325, FORT WASHINGTON, MD 20749-1325
(301) 983-6656
(301) 983-8110
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0026262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027462500
—
MD
01
—
7821
CAREFIRST OF DC
DC
01
—
DA4019
RR MEDICARE
—
Enumeration date
06/17/2005
Last updated
02/23/2010
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