Healthcare Provider Details

I. General information

NPI: 1457626640
Provider Name (Legal Business Name): A PLUS MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 01/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 NEW HAMPSHIRE AVE STE 314
TAKOMA PARK MD
20912-6972
US

IV. Provider business mailing address

7676 NEW HAMPSHIRE AVE SUITE 330
TAKOMA PARK MD
20912-7512
US

V. Phone/Fax

Practice location:
  • Phone: 301-326-2997
  • Fax: 301-326-2999
Mailing address:
  • Phone: 301-326-2997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0047891
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIC AIGBEDION
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 301-326-2997