Individual
DR. JOHN NICHOLAS VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 ALLENTOWN RD STE 400, CAMP SPRINGS, MD 20746-4585
(301) 868-0150
(301) 868-0243
Mailing address
8116 GOOD LUCK RD STE 305, LANHAM, MD 20706-3508
(301) 552-1200
(301) 552-2611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D30583
MD
207Q00000X
Family Medicine Physician
MD11962
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231184DO
—
DC
05
—
341001300MD
—
MD
Enumeration date
07/19/2006
Last updated
07/21/2022
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