| Community Family Medicine Pc | |
|
121 Congressional Ln Suite 318 Rockville MD 20852-1542 | |
| (301) 984-8689 | |
| (301) 984-4843 |
| Full Name | Community Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 121 Congressional Ln, Rockville, Maryland |
| Authorized Official Name and Position | Jack Richard Epstein (PRESIDENT) |
| Authorized Official Contact | 3019848689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Medicine Pc 121 Congressional Ln Suite 318 Rockville MD 20852-1542 Ph: (301) 984-8689 | Community Family Medicine Pc 121 Congressional Ln Suite 318 Rockville MD 20852-1542 Ph: (301) 984-8689 |
| NPI Number | 1932338357 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 6709923006 |
|---|---|
| Medicare Enrollment ID | O20091019000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932338357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jack R Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063569507 PECOS PAC ID: 6002809514 Enrollment ID: I20040408000162 |
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