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8118 Good Luck Rd Lanham Seabrook MD 20706-3574 | |
(443) 849-3184 | |
(443) 849-3182 |
Full Name | |
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Speciality | Internal Medicine |
Location | 8118 Good Luck Rd, Lanham Seabrook, Maryland |
Authorized Official Name and Position | Elizabeth Lee (CFO) |
Authorized Official Contact | 4105427800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11311 Mccormick Rd Ste 350 Hunt Valley MD 21031-8618 Ph: (443) 849-8200 | 8118 Good Luck Rd Lanham Seabrook MD 20706-3574 Ph: (443) 849-3184 |
NPI Number | 1588412241 |
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Provider Enumeration Date | 05/08/2024 |
Last Update Date | 05/31/2024 |
Medicare PECOS PAC ID | 2769580422 |
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Medicare Enrollment ID | O20241002003253 |
Identifier | Type | State | Issuer |
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1588412241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
Provider Name | Stephanie B Carpenter |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1871754499 PECOS PAC ID: 4486823903 Enrollment ID: I20130611000142 |
Provider Name | Julia E Brandenburg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053718726 PECOS PAC ID: 1557685138 Enrollment ID: I20150424000899 |
Provider Name | Jacqueline A Leclercq |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891126827 PECOS PAC ID: 7315177425 Enrollment ID: I20170516001326 |
Provider Name | Olubunmi O Aiyegbusi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417558131 PECOS PAC ID: 2567863244 Enrollment ID: I20210701002499 |
Provider Name | Kristen U Roller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649863655 PECOS PAC ID: 1355746090 Enrollment ID: I20210818004258 |
Don H. Yablonowitz, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7404 Executive Pl, Suite 502, Lanham Seabrook, MD 20706 Phone: 301-390-6660 Fax: 301-464-6248 |