Maryland Specialty Care, Llc | |
12200 Annapolis Rd Ste 123 Glenn Dale MD 20769-9182 | |
(301) 552-9495 | |
(301) 552-9743 |
Full Name | Maryland Specialty Care, Llc |
---|---|
Speciality | Obstetrics & Gynecology |
Location | 12200 Annapolis Rd Ste 123, Glenn Dale, Maryland |
Authorized Official Name and Position | Debra Kwasi (PRESIDENT) |
Authorized Official Contact | 3015529495 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maryland Specialty Care, Llc 12200 Annapolis Rd Ste 123 Glenn Dale MD 20769-9182 Ph: (301) 552-9495 | Maryland Specialty Care, Llc 12200 Annapolis Rd Ste 123 Glenn Dale MD 20769-9182 Ph: (301) 552-9495 |
NPI Number | 1366104234 |
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Provider Enumeration Date | 10/08/2021 |
Last Update Date | 10/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366104234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
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