Pax River Medical Clinic, LLC

NPI #1083807085 in Lexington Park, Maryland

Provider Information

NPI Number: 1083807085
Entity Type: Organization
Organization Name: Pax River Medical Clinic, LLC
Primary Specialty: General Practice
Enumeration Date: Aug 22, 2007
Last Updated: May 9, 2014

Practice Location

Address: 46940 S SHANGRI LA DR
Address 2: SUITE #19
City: Lexington Park
State: Maryland
ZIP Code: 20653-1037
Phone: (301) 863-8101

Authorized Official

Name: DR. KATHERINE ANN MARTIN, DO
Title: OWNER
Phone: (301) 863-8101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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