Organization
MARYLAND PHYSICIANS EDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY M MORAN (PRACTICE MANAGER)
(301) 681-6772
Entity
Organization
Contact information
Practice address
10750 COLUMBIA PIKE STE 700, SILVER SPRING, MD 20901-4461
(301) 681-6772
Mailing address
PO BOX 14079, BELFAST, ME 04915-4031
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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