Organization · Type 2 NPI

Edge Medical Care PC

Primary Care Clinic/Center · Riverdale, MD

NPI number 1447255609 Active

Practice location

5305 Kenilworth Ave, Ste 100
Riverdale, MD 20737-3110

Mailing address

PO Box 7909
Langley Park, MD 20787-7909

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XD 47156 (MD)
Primary Care Clinic/Center 261QP2300XMD 21355 (DC)

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About NPI 1447255609

Edge Medical Care PC's National Provider Identifier is 1447255609, issued on Jun 15, 2005. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Riverdale, MD. The record was last updated on Jul 10, 2008.