Prince Georges Ent Head & Neck Surgery, LLC

NPI #1992352033 in Waldorf, Maryland

Provider Information

NPI Number: 1992352033
Entity Type: Organization
Organization Name: Prince Georges Ent Head & Neck Surgery, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Aug 22, 2019
Last Updated: Nov 6, 2020

Practice Location

Address: 10 SAINT PATRICKS DR
City: Waldorf
State: Maryland
ZIP Code: 20603-4527
Phone: (301) 373-7900

Authorized Official

Name: DR. BRYAN CHINAEMEREM EGO-OSUALA, MD
Title: PRESIDENT
Phone: (202) 999-8413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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