Medstar Southern Maryland Physicians, LLC

NPI #1598060709 in Waldorf, Maryland

Provider Information

NPI Number: 1598060709
Entity Type: Organization
Organization Name: Medstar Southern Maryland Physicians, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Jan 19, 2011
Last Updated: Mar 15, 2013

Practice Location

Address: 10 SAINT PATRICKS DR
Address 2: SUITE 202
City: Waldorf
State: Maryland
ZIP Code: 20603-4527
Phone: (301) 396-8071

Authorized Official

Name: JANE RAYMOND
Title: VP
Phone: (301) 868-3019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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