Organization
POOLESVILLE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMAR VENKAT DUGGIRALA D.O. (FAMILY PHYSICIAN)
(301) 972-7600
Entity
Organization
Contact information
Practice address
19710 FISHER AVE, SUITE J, POOLESVILLE, MD 20837-0108
(301) 972-7600
(301) 972-8006
Mailing address
19710 FISHER AVE, SUITE J, PO BOX 108, POOLESVILLE, MD 20837-2098
(301) 972-7600
(301) 972-8006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H61505
MD
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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