Organization
OLD GREENBELT FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALMA KHAN (AUTHORIZED OFFICIAL)
(866) 282-5040
Entity
Organization
Contact information
Practice address
115 CENTERWAY STE 104, GREENBELT, MD 20770-1836
(866) 282-5040
(609) 482-8118
Mailing address
115 CENTERWAY STE 104, GREENBELT, MD 20770-1836
(866) 282-5040
(609) 482-8118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R235180
STATE LICENSE
MD
Enumeration date
08/11/2021
Last updated
08/11/2021
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