Ch MD Northern Collaborative Care PC

NPI #1114328549 in Waldorf, Maryland

Provider Information

NPI Number: 1114328549
Entity Type: Organization
Organization Name: Ch MD Northern Collaborative Care PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 4, 2014
Last Updated: Feb 10, 2015

Practice Location

Address: 2300 OXFORD SHIRE CT
City: Waldorf
State: Maryland
ZIP Code: 20603-3215
Phone: (667) 207-7005

Authorized Official

Name: MELISSA M COOKE
Title: CHIEF FINANCIAL OFFICER
Phone: (972) 715-3808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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