Organization
FAMILY HEALTH CARE OF SILVER SPRING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA ELLIS MD (OWNER)
(301) 592-1784
Entity
Organization
Contact information
Practice address
344 UNIVERSITY BLVD W STE 213, SILVER SPRING, MD 20901-1970
(301) 592-1784
(301) 592-1783
Mailing address
344 UNIVERSITY BLVD W STE 213, SILVER SPRING, MD 20901-1970
(301) 592-1784
(301) 592-1783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D39997
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54322302
BCBS OF MD
MD
01
—
78072
AMERIGROUP
MD
Enumeration date
10/31/2007
Last updated
11/09/2007
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