Phs Glenn Dale
NPI #1487922803 in Glenn Dale, Maryland
Provider Information
- NPI Number
- 1487922803
- Entity Type
- Organization
- Organization Name
- Phs Glenn Dale
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE HOSPITAL
- Primary Specialty
- Surgery
- Enumeration Date
- Dec 13, 2011
- Last Updated
- Oct 9, 2017
Practice Location
- Address
- 12200 ANNAPOLIS RD
- Address 2
- SUITE 123
- City
- Glenn Dale
- State
- Maryland
- ZIP Code
- 20769-9182
- Phone
- (202) 448-4014
Authorized Official
- Name
- BEAU HIGGINBOTHAM
- Title
- VICE PRESIDENT/COO
- Phone
- (410) 368-3162
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
| Surgery |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Berny J Kreutz, MD | |
| DR. Tsion Berhane, MD | |
| DR. Cary Douglas Brown, M.D. | |
| DR. Steven L Quigley, MD |
Organizations
| Provider Name | |
|---|---|
| The Bariatric and Hernia Institute, PC |
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