| 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 | Family Medicine |
| Location | 604 S Frederick Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Aiping Sui (OWNER) |
| Authorized Official Contact | 2404046423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 | 1871772897 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871772897 | NPI | - | NPPES |
| G02217 | Other | MD | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0061924 (Maryland) | Primary |
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