Healthcare Provider Details
I. General information
NPI: 1215138409
Provider Name (Legal Business Name): QUINCE ORCHARD MEDICAL CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14800 PHYSICIANS LN SUITE 231
ROCKVILLE MD
20850-3940
US
IV. Provider business mailing address
14800 PHYSICIANS LN SUITE 231
ROCKVILLE MD
20850-3940
US
V. Phone/Fax
- Phone: 301-762-6686
- Fax: 301-762-6646
- Phone: 301-762-6686
- Fax: 301-762-6646
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081H0002X |
| Taxonomy | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | H0050666 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | S01599 |
| License Number State | MD |
VIII. Authorized Official
Name: DR.
STEVEN
FRED
LIPSCHUTZ
Title or Position: CLINIC DIRECTOR
Credential: D.C.
Phone: 301-762-6686