Organization
MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC
Active
Parent organization
MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC
Other names
SMHC OBGYN Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC
Authorized official
JANE RAYMOND (VICE PRESIDENT)
(301) 856-3019
Entity
Organization
Contact information
Practice address
7700 OLD BRANCH AVE, SUITE 104A, CLINTON, MD 20735
(301) 868-8888
(301) 868-0409
Mailing address
10403 HOSPITAL DRIVE, SUITE G-04, CLINTON, MD 20735-3134
(301) 856-3019
(301) 856-9370
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222101200
—
MD
01
—
B776
CAREFIRST NCA/MD
—
01
—
KR10ME
CAREFIRST NCA/MD
—
Enumeration date
07/27/2006
Last updated
11/02/2009
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