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Organization

RALPH W. FAWCETT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RALPH WILLARD FAWCETT MD (PRINCIPAL OWNER)
(301) 262-5203
Entity
Organization

Contact information

Practice address
6000 LAUREL BOWIE RD, SUITE 209D, BOWIE, MD 20715-4000
(301) 262-5203
(301) 262-3909
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(301) 570-9700
(301) 260-2838

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0029737
MD

Other

Enumeration date
05/27/2006
Last updated
10/12/2007
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