Prince George's County Health Department
NPI #1194213728 in Bladensburg, Maryland
Provider Information
- NPI Number
- 1194213728
- Entity Type
- Organization
- Organization Name
- Prince George's County Health Department
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Apr 30, 2018
- Last Updated
- Sep 17, 2020
Practice Location
- Address
- 4200 57TH AVE
- City
- Bladensburg
- State
- Maryland
- ZIP Code
- 20710-1710
- Phone
- (240) 696-3356
Authorized Official
- Name
- TAMALA BUTLER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (301) 883-7822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adolescent Medicine — Adolescent Medicine |
| Clinic/Center - Student Health — Student Health |
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