Organization
SOUTHERN MARYLAND NEPHROLOGY AND HYPERTENSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ANTWI-DONKOR MD (OWNER)
(301) 856-2810
Entity
Organization
Contact information
Practice address
9131 PISCATAWAY RD STE 750, CLINTON, MD 20735-2581
(301) 856-2810
Mailing address
1612 MAUD LN, CROWNSVILLE, MD 21032-1911
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068293900
—
DC
05
—
745172500
—
MD
Enumeration date
03/29/2018
Last updated
03/29/2018
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