| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/06/2009 |
| Last Update Date | 02/20/2013 |
| Medicare PECOS PAC ID | 7517900038 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912059320 PECOS PAC ID: 4789627217 Enrollment ID: I20050606001153 |
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