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901 Harry S Truman Dr N Upper Marlboro MD 20774-5477 | |
| (240) 677-3000 | |
| (301) 618-3521 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 Harry S Truman Dr N, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Michael Brozic (CFO) |
| Authorized Official Contact | 4109131546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
900 Elkridge Landing Rd Fl 2 Linthicum MD 21090-2924 Ph: (443) 462-5010 | 901 Harry S Truman Dr N Upper Marlboro MD 20774-5477 Ph: (240) 677-3000 |
| NPI Number | 1487714168 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487714168 | NPI | - | NPPES |
| 405690600 | Medicaid | MD |
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