MEDICARE: HARBORVIEW URGENT CARE

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	261QU0200X	Urgent Care Clinic/Center		MD

General Provider Information

NPI Number	:	1922453778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBORVIEW URGENT CARE

Provider Business Mailing Address
First Line	:	8507 OXON HILL ROAD
Second Line	:	SUITE 102
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744
Country	:	US
Telephone Number	:	301-751-5880
Fax Number	:

Provider Business Practice Location Address
First Line	:	8507 OXON HILL RD
Second Line	:	SUITE 102
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4766
Country	:	US
Telephone Number	:	301-751-5880
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	DR. CYNTHIA ROSEBERRY ANDERSON
Credential	:	MD
Telephone Number	:	301-751-5880

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	04/29/2016

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