Old Branch Health Care

NPI #1366736779 in Temple Hills, Maryland

Provider Information

NPI Number: 1366736779
Entity Type: Organization
Organization Name: Old Branch Health Care
Primary Specialty: Pediatrics
Enumeration Date: Jun 2, 2011
Last Updated: Jun 2, 2011

Practice Location

Address: 4333 OLD BRANCH AVE
City: Temple Hills
State: Maryland
ZIP Code: 20748-1848
Phone: (301) 899-5140

Authorized Official

Name: TERRIE L BALLENGER
Title: ADMINISTRATOR
Phone: (301) 899-5140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Pediatrics	208000000X	Primary

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