Healthcare Provider Details

I. General information

NPI: 1376736603
Provider Name (Legal Business Name): ASSOCIATES IN FAMILY PRACTICE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12501 PROSPERITY DR STE 410
SILVER SPRING MD
20904-1652
US

IV. Provider business mailing address

12501 PROSPERITY DR STE 410
SILVER SPRING MD
20904-1652
US

V. Phone/Fax

Practice location:
  • Phone: 301-368-0038
  • Fax: 301-328-0006
Mailing address:
  • Phone: 301-368-0038
  • Fax: 301-328-0006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADOLPH WILLIAM JOHNSON JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 301-622-6020