institution
J Richard Lilly Md Abfp Chtd
General Practice Physician in Hyattsville, Maryland
NPI 1336135821

J Richard Lilly Md Abfp Chtd is a General Practice Physician based in Hyattsville, MD. J Richard Lilly Md Abfp Chtd practices in Hyattsville, MD. The NPI Number for J Richard Lilly Md Abfp Chtd is 1336135821 and holds a License No. (Maryland).

The current practice location address for J Richard Lilly Md Abfp Chtd is 5804 Baltimore Ave, Hyattsville, MD and can be reached out via phone at 301-927-7800 and via fax at 301-927-0375.

Location: 5804 Baltimore Ave, Hyattsville, MD, 20781-1623
institution
Provider Profile Details
NPI Number
1336135821
Provider Name
J Richard Lilly Md Abfp Chtd
Credential
Provider Entity Type
Organization
Address
5804 Baltimore Ave, Hyattsville, MD, 20781-1623
Phone Number
301-927-7800
Fax Number
301-927-0375
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015481400 05 MD
institution
Provider Business Practice Location Address Details
Address
5804 Baltimore Ave
City
State
Zip
20781-1623
Phone Number
301-927-7800
Fax Number
301-927-0375
person
Provider Business Mailing Address Details
Address
5804 Baltimore Ave
City
State
Zip
20781-1623
Phone Number
301-927-7800
Fax Number
301-927-0375
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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