Organization Name: | URSULA D. POYDRAS, MD, LLC |
NPI Number: | 1043469141 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | URSULA DENISE POYDRAS (PHYSICIAN AND SURGEON) |
Mailing Address: | 9821 Greenbelt Rd Suite 206 Lanham |
State: | MD US |
Postal Code: | 207062265 |
Phone Number: | 3015525862 |
Fax Number: | 3015525864 |
NPI Enumeration Date: | 09/12/2008 |
NPI Last Update Date: | 09/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | D0042448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |