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7000 Adelphi Road Hyattsville MD 20782 | |
| (301) 985-1872 | |
| (301) 883-7890 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 7000 Adelphi Road, Hyattsville, 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 |
|---|---|
1701 Mccormick Dr Ste 120 Largo MD 20774-5329 Ph: () - | 7000 Adelphi Road Hyattsville MD 20782 Ph: (301) 985-1872 |
| NPI Number | 1457849093 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457849093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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