Vanessa Allen Md Llc | |
12200 Annapolis Rd Suite 115 Glenn Dale MD 20769-9182 | |
(301) 805-7084 | |
(301) 805-7043 |
Full Name | Vanessa Allen Md Llc |
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Speciality | Family Medicine |
Location | 12200 Annapolis Rd, Glenn Dale, Maryland |
Authorized Official Name and Position | Hugh Romney (CFO) |
Authorized Official Contact | 2022703494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vanessa Allen Md Llc 12200 Annapolis Rd Suite 115 Glenn Dale MD 20769-9182 Ph: (301) 805-7084 | Vanessa Allen Md Llc 12200 Annapolis Rd Suite 115 Glenn Dale MD 20769-9182 Ph: (301) 805-7084 |
NPI Number | 1750520235 |
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Provider Enumeration Date | 02/06/2009 |
Last Update Date | 02/20/2013 |
Medicare PECOS PAC ID | 7517900038 |
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Medicare Enrollment ID | O20050606001126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750520235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Vanessa M Allen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912059320 PECOS PAC ID: 4789627217 Enrollment ID: I20050606001153 |
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