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Contact Information

AFFILIATED SANTE GROUP
4355 NICOLE DR
LANHAM, MD20706-4349
 Phone: 301-429-2171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AFFILIATED SANTE GROUP

NPI # 1013348267
LBN Legal business name AFFILIATED SANTE GROUP
Authorized official FRED CHANTEAU - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2013
Last updated 02/10/2020 - About 6 years ago
Identifiers
MD Medicaid 422027700
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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