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General NPI Number Information
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NPI Number | 1780239970
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Entity Type | Organization
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Legal Business Name | SALUDICITY LLC
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 12200 ANNAPOLIS RD STE 228
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City | GLENN DALE
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State | MD
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Zip | 20769-9182
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Country | US
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Telephone | 301-446-2513
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Fax | 380-390-5398
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Provider Business Mailing Address
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Address Line | 8609 WESTWOOD CENTER DR STE 110
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City | TYSONS
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State | VA
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Zip | 22182-7525
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Country | US
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Telephone | 301-446-2513
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Fax | 380-390-5398
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL NEWMAN
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Credential | MD
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Telephone | 202-361-5732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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