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NPI Code Detail

MEDICARE: ADVENTIST PHYSICIAN SERVICES, INC.

MEDICARE: ADVENTIST PHYSICIAN SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician

General Provider Information

NPI Number : 1346076833
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVENTIST PHYSICIAN SERVICES, INC.
Provider Business Mailing Address
First Line : 820 W DIAMOND AVE STE 500
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-1469
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8807 COLESVILLE RD FL 4
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4346
Country : US
Telephone Number : 240-641-8360
Fax Number :
Authorized Official
Title or Position : VP MANAGED CARE
Name : PAMELA MCCLAIN
Credential :
Telephone Number : 301-315-3430
Provider Enumeration Date : 09/11/2024
Last Update Date : 04/08/2026

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Directions to “ADVENTIST PHYSICIAN SERVICES, INC. ” Practice Location

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