| Gaithersburg Family Medicine | |
|
604 S Frederick Ave Suite 200 Gaithersburg MD 20877-1275 | |
| (240) 404-6423 | |
| (240) 404-6426 |
| Full Name | Gaithersburg Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 604 S Frederick Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Aiping Sui (OWNER) |
| Authorized Official Contact | 2404046423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaithersburg Family Medicine 604 S Frederick Ave Suite 200 Gaithersburg MD 20877-1275 Ph: (240) 404-6423 | Gaithersburg Family Medicine 604 S Frederick Ave Suite 200 Gaithersburg MD 20877-1275 Ph: (240) 404-6423 |
| NPI Number | 1558530584 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 1557384567 |
|---|---|
| Medicare Enrollment ID | O20060105000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558530584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0062439 (Maryland) | Primary |
| Provider Name | Aiping Sui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877305 PECOS PAC ID: 7315933595 Enrollment ID: I20050624000069 |
| Provider Name | Wei Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932251931 PECOS PAC ID: 4789676446 Enrollment ID: I20060106000104 |
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