institution
Krystal Medical Associates Llc
Primary Care Clinic/Center in Glenn Dale, Maryland
NPI 1164604187

Krystal Medical Associates Llc is a Primary Care Clinic/Center based in Glenn Dale, MD and is specialized in Primary Care. Krystal Medical Associates Llc practices in Glenn Dale, MD. The NPI Number for Krystal Medical Associates Llc is 1164604187 and holds a License No. D0053461 (Maryland).

The current practice location address for Krystal Medical Associates Llc is 12150 Annapolis Rd, Glenn Dale, MD and can be reached out via phone at 301-464-7601 and via fax at 866-885-9817.

Location: 12150 Annapolis Rd, Glenn Dale, MD, 20769-9183
institution
Provider Profile Details
NPI Number
1164604187
Provider Name
Krystal Medical Associates Llc
Credential
Provider Entity Type
Organization
Address
12150 Annapolis Rd, Glenn Dale, MD, 20769-9183
Phone Number
301-464-7601
Fax Number
866-885-9817
Provider Enumeration Date
11/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
402647100 05 MD
010012902 05 VA
034934800 05 DC
institution
Provider Business Practice Location Address Details
Address
12150 Annapolis Rd
City
State
Zip
20769-9183
Phone Number
301-464-7601
Fax Number
866-885-9817
person
Provider Business Mailing Address Details
Address
12150 Annapolis Rd
City
State
Zip
20769-9183
Phone Number
301-464-7601
Fax Number
866-885-9817
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
D0053461 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
D0053461 (Maryland)
Definition
Definition to come...
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