Medstar Southern Maryland Physicians, LLC

NPI #1497790398 in Clinton, Maryland

Provider Information

NPI Number: 1497790398
Entity Type: Organization
Organization Name: Medstar Southern Maryland Physicians, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Jun 17, 2006
Last Updated: Mar 15, 2013

Practice Location

Address: 10401 HOSPITAL DRIVE
Address 2: SUITE G-4
City: Clinton
State: Maryland
ZIP Code: 20735-3134
Phone: (301) 877-0891

Authorized Official

Name: JANE RAYMOND
Title: VICE PRESIDENT
Phone: (301) 856-3019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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