Healthcare Provider Details

I. General information

NPI: 1801638465
Provider Name (Legal Business Name): M & D STAFFING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E WEST HWY APT 1112
SILVER SPRING MD
20910-3261
US

IV. Provider business mailing address

1400 E WEST HWY APT 1112
SILVER SPRING MD
20910-3261
US

V. Phone/Fax

Practice location:
  • Phone: 301-979-2800
  • Fax:
Mailing address:
  • Phone: 301-979-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. DEREK WATAT SR.
Title or Position: CEO/FOUNDER
Credential:
Phone: 301-979-2800