Organization · Type 2 NPI

Medstar Southern Maryland Physicians, LLC

Obstetrics & Gynecology Physician · Waldorf, MD

NPI number 1316340201 Active

Practice location

11340 Pembrooke Sq, Suite 203
Waldorf, MD 20603-4808

Fax (301) 932-7917

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6 other providers at this address

Other obstetrics & gynecology physician providers in Waldorf

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NPI record

NPI: 1316340201
Entity type: Organization (Type 2)
Issued: Oct 6, 2014
Last updated: Oct 6, 2014
Status: Active
Subpart: Yes of Medstar Southern Maryland Physicians, LLC

Other names

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Medstar Southern Maryland Women's Health Center · doing business as

Authorized official

Jane E. Raymond
V.p. of Physician Services
(301) 877-4530

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316340201

Medstar Southern Maryland Physicians, LLC's National Provider Identifier is 1316340201, issued on Oct 6, 2014. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Waldorf, MD. The record was last updated on Oct 6, 2014.