Organization
HEART CENTER OF SOUTHERN MARYLAND LLP
Active
Parent organization
HEART CENTER OF SOUTHERN MARYLAND, L.L.P.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEART CENTER OF SOUTHERN MARYLAND, L.L.P.
Authorized official
STACI L BOWLING (MANAGER)
(301) 932-5890
Entity
Organization
Contact information
Practice address
11370 PEMBROOKE SQ, WALDORF, MD 20603-4842
(301) 932-5890
(301) 645-6361
Mailing address
PO BOX 316, WALDORF, MD 20604-0316
(301) 932-5890
(301) 645-6361
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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