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NPI Code Detail

MEDICARE: MARYLAND PRIMARY CARE AND WELLNESS

MEDICARE: MARYLAND PRIMARY CARE AND WELLNESS
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578371514
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARYLAND PRIMARY CARE AND WELLNESS
Provider Business Mailing Address
First Line : 3921 FERRARA DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-4709
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3921 FERRARA DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-4709
Country : US
Telephone Number : 301-946-6420
Fax Number :
Authorized Official
Title or Position : MD
Name : ALBERT ENOW TAKEM
Credential :
Telephone Number : 240-408-6286
Provider Enumeration Date : 12/23/2024
Last Update Date : 12/23/2024

Similar Medicare Providers

1134155583 — LHCA'S DIABETES DISEASE STATE MANAGEMENT CENTER
Practice Location Address:
3937 FERRARA DR
SILVER SPRING, MD
20906-4709
Practice Phone: 301-942-0678
Practice Fax: 301-942-0079
1851327217 — MRS. ROSETTA T HENDRICKS RN, CFNP
Practice Location Address:
3937 FERRARA DR
SILVER SPRING, MD
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1114951944 — DR. SUZANNE MARIE NOONAN AU.D., CCC-A, FAAA
Practice Location Address:
3913 FERRARA DR
SILVER SPRING, MD
20906-4709
Practice Phone: 301-946-2434
Practice Fax: 301-946-2435
1356369011 — DR. JACALYN RENEE ELY O.D.
Practice Location Address:
3933 FERRARA DR
SILVER SPRING, MD
20906-4709
Practice Phone: 301-946-2550
Practice Fax: 301-946-2551
1942220744 — HEARING HEALTHCARE, INC.
Practice Location Address:
3913 FERRARA DR
SILVER SPRING, MD
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Practice Fax: 301-946-2435
1982610846 — DR. LAWRENCE ROBERT STARIN M.D.
Practice Location Address:
3921 FERRARA DR
SILVER SPRING, MD
20906-4709
Practice Phone: 301-933-4283
Practice Fax: 301-946-0642
1013925601 — HARINI P KANANI MD
Practice Location Address:
3929 FERRARA DR
SILVER SPRING, MD
20906-4709
Practice Phone: 301-942-3100
Practice Fax: 301-942-5298

Directions to “MARYLAND PRIMARY CARE AND WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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