| St Charles Healthcare / Leon Medical Center | |
|
3261 Old Washington Rd Suite 3010 Waldorf MD 20602-3223 | |
| (301) 645-9551 | |
| (301) 645-0039 |
| Full Name | St Charles Healthcare / Leon Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3261 Old Washington Rd, Waldorf, Maryland |
| Authorized Official Name and Position | Joan Barker (OFFICE MANAGER) |
| Authorized Official Contact | 3016459551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Charles Healthcare / Leon Medical Center 3261 Old Washington Rd Suite 3010 Waldorf MD 20602-3223 Ph: (301) 645-9551 | St Charles Healthcare / Leon Medical Center 3261 Old Washington Rd Suite 3010 Waldorf MD 20602-3223 Ph: (301) 645-9551 |
| NPI Number | 1124096524 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124096524 | NPI | - | NPPES |
| 752341600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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