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Organization

GREENWAY FAMILY MEDICAL PRACTICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIAM ASHIQ (ADMINISTRATOR)
(301) 313-0425
Entity
Organization

Contact information

Practice address
7525 GREENWAY CENTER DR, 105, GREENBELT, MD 20770-3509
(301) 313-0425
(301) 313-0435
Mailing address
7525 GREENWAY CENTER DR, 105, GREENBELT, MD 20770-3509
(301) 313-0425
(301) 313-0435

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD
207R00000X
Internal Medicine Physician
MD
208000000X
Pediatrics Physician
MD
2080P0205X
Pediatric Endocrinology Physician
MD

Other

Enumeration date
11/23/2015
Last updated
11/23/2015
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