| Odenton Family Medicine | |
|
3305 N Leisure World Blvd Silver Spring MD 20906-1367 | |
| (301) 598-1590 | |
| (301) 598-1569 |
| Full Name | Odenton Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3305 N Leisure World Blvd, Silver Spring, Maryland |
| Authorized Official Name and Position | Samuel Maller (PRESIDENT) |
| Authorized Official Contact | 3016756589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odenton Family Medicine Po Box 709 Olney MD 20830-0709 | Odenton Family Medicine 3305 N Leisure World Blvd Silver Spring MD 20906-1367 Ph: (301) 598-1590 |
| NPI Number | 1073639118 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073639118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0050612 (Maryland) | Primary |
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