Organization · Type 2 NPI

Providence Health Services

Family Medicine Physician · Colmar Manor, MD

NPI number 1194985515 Active

Practice location

4151 Bladensburg Rd
Colmar Manor, MD 20722-1928

Fax (301) 779-9001

Mailing address

1150 Varnum St NE
Washington, DC 20017-2149

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XHFD01-0212 (DC)
Internal Medicine Physician 207R00000XHFD01-0212 (DC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1194985515

Providence Health Services's National Provider Identifier is 1194985515, issued on Jun 10, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Colmar Manor, MD. The record was last updated on Oct 9, 2017.