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Organization

ADVENTIST HOSPITAL-BASED PROVIDERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAWANDA MCPHERSON (SR. PROVIDER ENROLLMENT)
(301) 315-3102
Entity
Organization

Contact information

Practice address
901 HARRY S TRUMAN DR N, UPPER MARLBORO, MD 20774-5477
(240) 677-1000
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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