Organization · Type 2 NPI

Belitehorizonmedicalcenter

Addiction Medicine (Psychiatry & Neurology) Physician · Leonardtown, MD

NPI number 1578876264 Active

Practice location

26825 Pointlook Out Road, Stee
Leonardtown, MD 20650

Fax (301) 997-0126

Mailing address

3704 26th Ave
Temple Hills, MD 20748-3010

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XBC4178263 (MD)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

About NPI 1578876264

Belitehorizonmedicalcenter's National Provider Identifier is 1578876264, issued on Jul 22, 2010. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Leonardtown, MD. The record was last updated on Aug 18, 2010.