| Spring Family Medical Center P.c. | |
|
1111 Spring St Suit G1 Silver Spring MD 20910-4003 | |
| (301) 562-7764 | |
| (301) 562-0884 |
| Full Name | Spring Family Medical Center P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Spring St, Silver Spring, Maryland |
| Authorized Official Name and Position | Oliver Moses Bennett (DIRECTOR) |
| Authorized Official Contact | 3015627764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Family Medical Center P.c. 1111 Spring St Suit G1 Silver Spring MD 20910-4003 Ph: (301) 562-7764 | Spring Family Medical Center P.c. 1111 Spring St Suit G1 Silver Spring MD 20910-4003 Ph: (301) 562-7764 |
| NPI Number | 1821233487 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 03/12/2009 |
| Medicare PECOS PAC ID | 1658339403 |
|---|---|
| Medicare Enrollment ID | O20041227000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821233487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D52883 (Maryland) | Primary |
| Provider Name | Oliver M Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467429415 PECOS PAC ID: 7911961354 Enrollment ID: I20041116000687 |
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