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Organization

UMG PRIMARY CARE OF MARYLAND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAYAM HERISCHI PHD (DIRECTOR)
(202) 812-0949
Entity
Organization

Contact information

Practice address
13671 GEORGIA AVE, SILVER SPRING, MD 20906-5214
(240) 219-9080
Mailing address
7201 WISCONSIN AVE, SUITE 450, BETHESDA, MD 20814-4810
(202) 812-0949

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0071488
MD

Other

Enumeration date
07/18/2016
Last updated
07/19/2016
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