Poolesville Family Practice LLC

NPI #1790953065 in Poolesville, Maryland

Provider Information

NPI Number
1790953065
Entity Type
Organization
Organization Name
Poolesville Family Practice LLC
Primary Specialty
Family Medicine
Enumeration Date
Feb 20, 2008
Last Updated
Feb 20, 2008

Practice Location

Address
19710 FISHER AVE
Address 2
SUITE J
ZIP Code
20837-0108
Phone
(301) 972-7600

Authorized Official

Name
DR. AMAR VENKAT DUGGIRALA, D.O.
Title
FAMILY PHYSICIAN
Phone
(301) 972-7600

Specialties & Taxonomy Codes

Specialty
Family Medicine

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