| Adventist Medical Group | |
|
7610 Carroll Ave Ste 410 Takoma Park MD 20912-6321 | |
| (301) 891-5079 | |
| Not Available |
| Full Name | Adventist Medical Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7610 Carroll Ave Ste 410, Takoma Park, Maryland |
| Authorized Official Name and Position | Kristen Pulio (SVP/CFO) |
| Authorized Official Contact | 3013153826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Medical Group 820 W Diamond Ave Gaithersburg MD 20878-1419 Ph: (301) 315-3102 | Adventist Medical Group 7610 Carroll Ave Ste 410 Takoma Park MD 20912-6321 Ph: (301) 891-5079 |
| NPI Number | 1013497700 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013497700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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