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Contact Information

QLER PHYSICIAN MEDICAL GROUP, P.A.
4431 ADRIENNE CT
JEFFERSON, MD21755
 Phone: 240-285-5396
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for QLER PHYSICIAN MEDICAL GROUP PA · (Female)

NPI # 1841712254
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2017
Last updated 06/30/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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