Organization
PHYSICIANS FAMILY PRACTICE, CHTRD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SAMUEL GRANITE MD, FAAFP, CGM (OWNER)
(301) 474-2141
Entity
Organization
Contact information
Practice address
115 CENTERWAY, GREENBELT, MD 20770-1836
(301) 474-2141
(301) 345-3874
Mailing address
115 CENTERWAY, GREENBELT, MD 20770-1836
(301) 474-2141
(301) 345-3874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
01/22/2009
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