Organization
DORCHESTER FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA COULBOURN MD (OWNER)
(410) 228-2603
Entity
Organization
Contact information
Practice address
300 DORCHESTER AVE, CAMBRIDGE, MD 21613-2420
(410) 228-2603
Mailing address
1518 GARY CREEK RD, CAMBRIDGE, MD 21613-3312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0080826
MD
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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