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Contact Information

GLENN R EDGECOMBE, MD
7700 OLD BRANCH AVE
STE B201
CLINTON, MD20735
 Phone: 301-868-0150
 Fax: 301-868-0243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GLENN R EDGECOMBE · (Male)

NPI # 1164485199
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # D0023826
  • DC Other 73810001 CAREFIRST BCBS
  • MD Other 41308904 CAREFIRST BCBS
  • MD Other 855349 MAMSI
  • MD Other 494356 NCPPO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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