Organization · Type 2 NPI

Medstar Medical Group II LLC

General Practice Physician · Waldorf, MD

NPI number 1417802190 Active

About NPI 1417802190

Medstar Medical Group II LLC's National Provider Identifier is 1417802190, issued on Feb 27, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Waldorf, MD. The record was last updated on Feb 27, 2026.