| Primary And Alternative Medicine Ctr Pa | |
|
11161 New Hampshire Ave 102 Silver Spring MD 20904-2606 | |
| (301) 681-4860 | |
| (301) 681-4864 |
| Full Name | Primary And Alternative Medicine Ctr Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 11161 New Hampshire Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Jean Margaret Welsh (OWNER) |
| Authorized Official Contact | 3016814860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary And Alternative Medicine Ctr Pa 11161 New Hampshire Ave 102 Silver Spring MD 20904-1562 Ph: (301) 681-4860 | Primary And Alternative Medicine Ctr Pa 11161 New Hampshire Ave 102 Silver Spring MD 20904-2606 Ph: (301) 681-4860 |
| NPI Number | 1275717910 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 06/30/2014 |
| Medicare PECOS PAC ID | 9133148307 |
|---|---|
| Medicare Enrollment ID | O20051116000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275717910 | NPI | - | NPPES |
| 010794300 | Medicaid | DC | |
| 293610100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D37002 (Maryland) | Primary |
| Provider Name | Jean M Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861592461 PECOS PAC ID: 3678504909 Enrollment ID: I20050826000347 |
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