Healthcare Provider Details

I. General information

NPI: 1174648588
Provider Name (Legal Business Name): CONTEMPORARY WOMENS' HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 11/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10215 FERNWOOD RD SUITE 250
BETHESDA MD
20817-1106
US

IV. Provider business mailing address

10215 FERNWOOD RD SUITE 250
BETHESDA MD
20817-1106
US

V. Phone/Fax

Practice location:
  • Phone: 301-897-9817
  • Fax: 301-571-9299
Mailing address:
  • Phone: 301-897-9817
  • Fax: 301-571-9299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0001087114
License Number StateVA

VIII. Authorized Official

Name: DR. LEWIS TOWNSEND
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-897-9817