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NPI Code Detail

MEDICARE: EDWIG K. PLOTNICK M.D.

MEDICARE:   EDWIG K. PLOTNICK  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD30852DC
22084P0800XPsychiatry PhysicianD0044053MD

General Provider Information

NPI Number : 1407870215
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWIG K. PLOTNICK M.D.
Provider Business Mailing Address
First Line : 8737 COLESVILLE RD STE 304
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-3921
Country : US
Telephone Number : 301-588-4260
Fax Number : 301-588-4261
Provider Business Practice Location Address
First Line : 8737 COLESVILLE RD STE 304
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-3921
Country : US
Telephone Number : 301-588-4260
Fax Number : 301-588-4261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 01/25/2019

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