Organization
EMERGENCY MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFFER CHASTAIN (PROVIDER ENROLLMENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
701 EAST CHARLES ST., CIVISTA MEDICAL CENTER, LA PLATA, MD 20646
(310) 609-4160
Mailing address
20010 CENTURY BLVD., SUITE 200, EMERGENCY MEDICINE ASSOCIATES, GERMANTOWN, MD 20874
(240) 686-2300
(240) 686-2330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
905321200
—
MD
Enumeration date
09/17/2010
Last updated
12/17/2024
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