| Leisure World Medical Center | |
|
3305 N Leisure World Blvd Silver Spring MD 20906-1367 | |
| (301) 598-1590 | |
| (301) 598-1569 |
| Full Name | Leisure World Medical Center |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3305 N Leisure World Blvd, Silver Spring, Maryland |
| Authorized Official Name and Position | Virginia Bronaugh (ADMINISTRATOR) |
| Authorized Official Contact | 3015981550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leisure World Medical Center 3305 N Leisure World Blvd Silver Spring MD 20906-1367 Ph: (301) 598-1590 | Leisure World Medical Center 3305 N Leisure World Blvd Silver Spring MD 20906-1367 Ph: (301) 598-1590 |
| NPI Number | 1326076894 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326076894 | NPI | - | NPPES |
| B773 | Other | BLUECROSS/BLUE SHIELD | |
| CA5483 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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