| Patuxent Endocrinology Associates, Llc | |
|
205 Steeple Chase Dr 307 Prince Frederick MD 20678-4053 | |
| (443) 432-3020 | |
| Not Available |
| Full Name | Patuxent Endocrinology Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 205 Steeple Chase Dr, Prince Frederick, Maryland |
| Authorized Official Name and Position | Reena M Thomas (C.E.O) |
| Authorized Official Contact | 4434323020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patuxent Endocrinology Associates, Llc Po Box 2424 Prince Frederick MD 20678-2424 Ph: (443) 432-3020 | Patuxent Endocrinology Associates, Llc 205 Steeple Chase Dr 307 Prince Frederick MD 20678-4053 Ph: (443) 432-3020 |
| NPI Number | 1427445733 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 11/04/2015 |
| Medicare PECOS PAC ID | 5597074237 |
|---|---|
| Medicare Enrollment ID | O20151021000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427445733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | D79447 (Maryland) | Primary |
| Provider Name | Reena Mary Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154640423 PECOS PAC ID: 5092964601 Enrollment ID: I20151021000879 |
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