institution
Pax River Medical Clinic, Llc
General Practice Physician in Lexington Park, Maryland
NPI 1083807085

Pax River Medical Clinic, Llc is a General Practice Physician based in Lexington Park, MD. Pax River Medical Clinic, Llc practices in Lexington Park, MD. The NPI Number for Pax River Medical Clinic, Llc is 1083807085 and holds a License No. H0055958 (Maryland).

The current practice location address for Pax River Medical Clinic, Llc is 46940 S Shangri La Dr, Lexington Park, MD and can be reached out via phone at 301-863-8101 and via fax at 301-863-8130.

Location: 46940 S Shangri La Dr, Lexington Park, MD, 20653-1037
institution
Provider Profile Details
NPI Number
1083807085
Provider Name
Pax River Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
46940 S Shangri La Dr, Lexington Park, MD, 20653-1037
Phone Number
301-863-8101
Fax Number
301-863-8130
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437267986 01 MD INDIVIDUAL NPI #
011218600 05 MD
institution
Provider Business Practice Location Address Details
Address
46940 S Shangri La Dr
City
State
Zip
20653-1037
Phone Number
301-863-8101
Fax Number
301-863-8130
person
Provider Business Mailing Address Details
Address
46940 S Shangri La Dr
City
State
Zip
20653-1037
Phone Number
301-863-8101
Fax Number
301-863-8130
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
H0055958 (Maryland)
Definition
Definition to come...
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