Old Line Medical Services, P.c.
NPI #1164580635 in Waldorf, Maryland
Provider Information
- NPI Number
- 1164580635
- Entity Type
- Organization
- Organization Name
- Old Line Medical Services, P.c.
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Jul 15, 2010
Practice Location
Authorized Official
- Name
- STEPHEN EDWARD WIGGINS, M.D.
- Title
- PRESIDENT
- Phone
- (301) 843-3888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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