1952543191 TYPE 1 INDIVIDUAL PROVIDER
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- TYPE 1 INDIVIDUAL PROVIDER
- Enumeration Date
- April 2, 2009
- Last Update
- April 8, 2009
- Authorized Official
- MS. BRENA GIBSON P.H.D
HUMAN RESOURCES DIRECTOR
Phone: (301) 439-7191
Practice Location
- Address
- 1620 ELTON RD
SILVER SPRING, MD 209031740 - Phone
- (301) 439-7191
Mailing Address
- Address
- 1620 ELTON RD
SILVER SPRING, MD 209031740 - Phone
- (301) 439-7191
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | LC2381 | MD | Primary |
Frequently Asked Questions
What is TYPE 1 INDIVIDUAL PROVIDER's NPI number?
TYPE 1 INDIVIDUAL PROVIDER's NPI number is 1952543191.
Which doctor has NPI number 1952543191?
The doctor with NPI number 1952543191 is TYPE 1 INDIVIDUAL PROVIDER.
What is TYPE 1 INDIVIDUAL PROVIDER's practice address?
TYPE 1 INDIVIDUAL PROVIDER's practice address is 1620 ELTON RD, SILVER SPRING, MD, 209031740.
Which doctor practices at 1620 ELTON RD, SILVER SPRING, MD, 209031740?
TYPE 1 INDIVIDUAL PROVIDER practices at 1620 ELTON RD, SILVER SPRING, MD, 209031740.
What is TYPE 1 INDIVIDUAL PROVIDER's phone number?
TYPE 1 INDIVIDUAL PROVIDER's phone number is (301) 439-7191.
Who is (301) 439-7191?
(301) 439-7191 is the phone number for TYPE 1 INDIVIDUAL PROVIDER.
What is TYPE 1 INDIVIDUAL PROVIDER's specialty?
TYPE 1 INDIVIDUAL PROVIDER's specialty is Exclusive Provider Organization.
What type of doctor is TYPE 1 INDIVIDUAL PROVIDER?
TYPE 1 INDIVIDUAL PROVIDER is a Exclusive Provider Organization.
Is TYPE 1 INDIVIDUAL PROVIDER a Exclusive Provider Organization?
Yes, TYPE 1 INDIVIDUAL PROVIDER is a Exclusive Provider Organization.
Is TYPE 1 INDIVIDUAL PROVIDER still practicing?
Yes, TYPE 1 INDIVIDUAL PROVIDER is currently practicing.
Is TYPE 1 INDIVIDUAL PROVIDER accepting new patients?
TYPE 1 INDIVIDUAL PROVIDER may be accepting new patients. Please call their office at (301) 439-7191 to inquire about availability.
Is NPI 1952543191 still active?
Yes, NPI 1952543191 is currently active.
Where does TYPE 1 INDIVIDUAL PROVIDER practice?
TYPE 1 INDIVIDUAL PROVIDER practices in SILVER SPRING, MD.