National Provider Identifier Database

OBGYN PHYSICIANS OF MID ATLANTIC PLLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC
6188 OXON HILL RD STE 603
OXON HILL, MD20745-3152
Phone: 301-839-6300
Fax: 301-839-3002
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC

NPI Number 1083881973
Legal business name
LBN
OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC
Authorized official STEPHEN PROCTOR - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/11/2008
Last updated 09/08/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: D38772
  • MD Medicaid: 221881000

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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