Organization
MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE RAYMOND (VICE PRESIDENT)
(301) 856-3019
Entity
Organization
Contact information
Practice address
10403 HOSPITAL DRIVE, SUITE G-04, CLINTON, MD 20735-3134
(301) 856-3019
(301) 856-9370
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
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222101200
—
MD
Enumeration date
10/20/2006
Last updated
02/21/2011
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