Healthcare Provider Details

I. General information

NPI: 1669774808
Provider Name (Legal Business Name): HEART RHYTHM SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 SURRATTS RD 208A
CLINTON MD
20735-3362
US

IV. Provider business mailing address

10705 MAPLECREST LN
POTOMAC MD
20854-6362
US

V. Phone/Fax

Practice location:
  • Phone: 301-412-6797
  • Fax: 301-838-8539
Mailing address:
  • Phone: 301-412-6797
  • Fax: 301-838-8539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUNG W LEE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-412-6797