Healthcare Provider Details

I. General information

NPI: 1114344165
Provider Name (Legal Business Name): BEATRICE DIGEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 PLUM ORCHARD DR
SILVER SPRING MD
20904-7803
US

IV. Provider business mailing address

2101 EAST JEFFERSON STREET SUITE 6W PPQA
ROCKVILLE MD
20852
US

V. Phone/Fax

Practice location:
  • Phone: 301-572-1000
  • Fax:
Mailing address:
  • Phone: 301-816-5853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101262536
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD045457
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD93235
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: