Organization · Type 2 NPI

PHS Glenn Dale

Surgery Physician · Glenn Dale, MD

NPI number 1487922803 Active

Practice location

12200 Annapolis Rd, Suite 123
Glenn Dale, MD 20769-9182

Call (202) 448-4014 Map

Fax (202) 372-0029

Mailing address

1160 Varnum St NE, St Catherine's Hall, Room 102
Washington, DC 20017-2107

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XHFD01-0212 (DC)
General Acute Care Hospital 282N00000XHFD01-0212 (DC)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1487922803

PHS Glenn Dale's National Provider Identifier is 1487922803, issued on Dec 13, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Glenn Dale, MD. The record was last updated on Oct 9, 2017.