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Contact Information

GERIATRIC MULTISPECIALTY ASSOCIATES
11350 PEMBROOKE SQ STE 311
WALDORF, MD20603-4809
 Phone: 301-870-0660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GERIATRIC MULTISPECIALTY ASSOCIATES

NPI # 1316515372
LBN Legal business name GERIATRIC MULTISPECIALTY ASSOCIATES
Authorized official PHILIP WISOTSKY - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2021
Last updated 11/22/2021 - About 5 years ago
Identifiers n/a
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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