| Providence Hospital | |
|
3413 Olive Branch Dr Silver Spring MD 20904-4973 | |
| (301) 256-7630 | |
| Not Available |
| Full Name | Providence Hospital |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3413 Olive Branch Dr, Silver Spring, Maryland |
| Authorized Official Name and Position | Yiesak Asfaw (NP) |
| Authorized Official Contact | 3012567630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Hospital 1150 Varnum St Ne Wahington Dc DC 20017 Ph: (202) 854-7000 | Providence Hospital 3413 Olive Branch Dr Silver Spring MD 20904-4973 Ph: (301) 256-7630 |
| NPI Number | 1134584667 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134584667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | RN1014643 (District Of Columbia) | Primary |
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