MEDICARE: CHEVERLY WOMEN HEALTHCARE 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
1	174400000X	Specialist	D0026819	MD

General Provider Information

NPI Number	:	1740514967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEVERLY WOMEN HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	6005 LANDOVER RD
Second Line	:	SUITE 5
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1145
Country	:	US
Telephone Number	:	301-322-2127
Fax Number	:	301-322-9770

Provider Business Practice Location Address
First Line	:	6005 LANDOVER RD
Second Line	:	SUITE 5
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1145
Country	:	US
Telephone Number	:	301-322-2127
Fax Number	:	301-322-9770

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. ALICIA CAMILLE SMITH
Credential	:
Telephone Number	:	301-322-2127

Provider Enumeration Date	:	09/21/2009
Last Update Date	:	09/21/2009

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Directions to “CHEVERLY WOMEN HEALTHCARE INC. ” Practice Location

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