Medstar Southern Maryland Physicians, LLC

NPI #1992057483 in Clinton, Maryland

Provider Information

NPI Number: 1992057483
Entity Type: Organization
Organization Name: Medstar Southern Maryland Physicians, LLC
Primary Specialty: General Practice
Enumeration Date: Oct 8, 2012
Last Updated: Mar 28, 2024

Practice Location

Address: 7503 SURRATTS RD
City: Clinton
State: Maryland
ZIP Code: 20735-3358
Phone: (301) 868-8000

Authorized Official

Name: DEBORA KUCHKA-CRAIG
Title: CORPORATE VICE PRESIDENT
Phone: (410) 772-6827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Obstetrics & Gynecology	207V00000X
Orthopaedic Surgery	207X00000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Hospitalist	208M00000X
Nurse Anesthetist, Certified Registered	367500000X
General Practice	208D00000X	Primary

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