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NPI Code Detail

MEDICARE: DR. EDITH M. RAYFIELD M.D.

MEDICARE: DR. EDITH M. RAYFIELD M.D.
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
1207Q00000XFamily Medicine PhysicianD0062925MD

General Provider Information

NPI Number : 1831181759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDITH M. RAYFIELD M.D.
Provider Business Mailing Address
First Line : 6400 MARLBORO PIKE
Second Line :
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-2841
Country : US
Telephone Number : 301-736-7000
Fax Number :
Provider Business Practice Location Address
First Line : 6400 MARLBORO PIKE
Second Line :
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-2841
Country : US
Telephone Number : 301-736-7000
Fax Number : 301-736-6916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 04/12/2016

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