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Organization

MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC

Active
Parent organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Other names
MedStar Southern Maryland Specialty Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Authorized official
JANE E RAYMOND (VP OF PHYSICIAN SERVICES)
(301) 877-4530
Entity
Organization

Contact information

Practice address
7501 SURRATTS RD, SUITE 305, CLINTON, MD 20735-3362
(301) 877-7202
(301) 877-7253
Mailing address
7501 SURRATTS RD, SUITE 305, CLINTON, MD 20735-3362
(301) 877-7202
(301) 877-7253

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/28/2014
Last updated
04/28/2014
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