| Prince George's County Health Department-sbw-bladensburg | |
|
4200 57th Ave Bladensburg MD 20710-1710 | |
| (240) 696-3356 | |
| (301) 883-7890 |
| Full Name | Prince George's County Health Department-sbw-bladensburg |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 4200 57th Ave, Bladensburg, Maryland |
| Authorized Official Name and Position | Tamala Butler (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3018837822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince George's County Health Department-sbw-bladensburg 1701 Mccormick Dr Ste 120 Largo MD 20774-5329 Ph: (301) 883-7822 | Prince George's County Health Department-sbw-bladensburg 4200 57th Ave Bladensburg MD 20710-1710 Ph: (240) 696-3356 |
| NPI Number | 1194213728 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194213728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Abs Memorial Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5632 Annapolis Rd Ste 11, Bladensburg, MD 20710 Phone: 240-486-7097 | |
Parmjit S Aujla Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5632 Annapolis Rd, Ste 13, Bladensburg, MD 20710 Phone: 301-699-8333 Fax: 301-699-9344 | |
Mynp Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5802 Annapolis Rd, Bladensburg, MD 20710 Phone: 804-937-3219 | |
Jr Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5632 Annapolis Rd Ste 8, Bladensburg, MD 20710 Phone: 240-413-6485 | |
Vicken Poochikian Md P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5632 Annapolis Rd, Suite 3, Bladensburg, MD 20710 Phone: 301-779-7607 Fax: 301-927-0335 |