Healthcare Provider Details
I. General information
NPI: 1285834853
Provider Name (Legal Business Name): ERICA E SINGELMANN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/23/2007
Last Update Date: 12/24/2019
Certification Date: 12/24/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10810 CONNECTICUT AVE
KENSINGTON MD
20895-2138
US
IV. Provider business mailing address
2101 E JEFFERSON ST 4 EAST (ATTN: THERESA A. JACKSON)
ROCKVILLE MD
20852-4908
US
V. Phone/Fax
- Phone: 301-929-7100
- Fax:
- Phone: 301-816-7405
- Fax: 301-388-1740
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 0101241624 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | D0071205 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: