Healthcare Provider Details

I. General information

NPI: 1386691442
Provider Name (Legal Business Name): SILVER SPRING EMERGENCY PHYSICIANS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 FOREST GLEN RD
SILVER SPRING MD
20910-1483
US

IV. Provider business mailing address

PO BOX 17315
BALTIMORE MD
21297-1315
US

V. Phone/Fax

Practice location:
  • Phone: 301-754-7000
  • Fax: 443-274-2391
Mailing address:
  • Phone: 443-274-2900
  • Fax: 443-274-2391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. LAWRENCE OUFIERO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-754-7000