Organization
ADVENTIST HOSPITAL-BASE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANDA MCPHERSON (SR. PROVIDER ENROLLMENT SPECIALIST)
(301) 315-3102
Entity
Organization
Contact information
Practice address
901 HARRY S TRUMAN DR N, UPPER MARLBORO, MD 20774-5477
(301) 677-7250
Mailing address
820 W DIAMOND AVE STE 500, GAITHERSBURG, MD 20878-1469
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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