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Contact Information

MIN-OBGYN OF MARYLAND PC
10401 HOSPITAL DRIVE
SUITE 103
CLINTON, MD20735
 Phone: 301-856-0334
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MIN-OBGYN OF MARYLAND PC

NPI Number 1205324225
LBN Legal business name MIN-OBGYN OF MARYLAND PC
Authorized official EBENEZER NETTEY - (CEO/MD)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2018
Last updated 04/25/2018 - About 8 years ago
Identifiers
DC Other 94080002 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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