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Coryse Brathwaite-dean, Md, Pc
Medical Specialty Clinic/Center in Waldorf, Maryland
NPI 1306099833

Coryse Brathwaite-dean, Md, Pc is a Medical Specialty Clinic/Center based in Waldorf, MD and is specialized in Medical Specialty. Coryse Brathwaite-dean, Md, Pc practices in Waldorf, MD. The NPI Number for Coryse Brathwaite-dean, Md, Pc is 1306099833 and holds a License No. D46239 (Maryland).

The current practice location address for Coryse Brathwaite-dean, Md, Pc is 3460 Old Washington Rd, Waldorf, MD and can be reached out via phone at 301-705-6500 and via fax at 301-705-5822.

Location: 3460 Old Washington Rd, Waldorf, MD, 20603-6438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306099833
Provider Name
Coryse Brathwaite-dean, Md, Pc
Credential
Provider Entity Type
Organization
Address
3460 Old Washington Rd, Waldorf, MD, 20603-6438
Phone Number
301-705-6500
Fax Number
301-705-5822
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3460 Old Washington Rd
City
Waldorf
State
Maryland
Zip
20602-3240
Phone Number
301-705-6500
Fax Number
301-705-5822
person
Provider Business Mailing Address Details
Address
3460 Old Washington Rd
City
Waldorf
State
Maryland
Zip
20602-3240
Phone Number
301-705-6500
Fax Number
301-705-5822
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
D46239 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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