Organization
MARYLAND PHYSICIANS EDGE LLC
Active
Organization
MARYLAND PHYSICIANS EDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY M MORAN (PRACTICE ADMINISTRATOR)
(301) 681-6772
Entity
Organization
Contact information
Practice address
12240 INDIAN CREEK CT STE 130, BELTSVILLE, MD 20705-1260
(301) 681-6772
(301) 681-2773
Mailing address
10750 COLUMBIA PIKE STE 700, SILVER SPRING, MD 20901-4461
(301) 681-6772
(301) 681-2773
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
12/11/2025
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