Organization Name: | FT WASHINGTON FAMILY CARE, P.C. |
NPI Number: | 1265697635 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL A BONE (PRESIDENT) |
Mailing Address: | 10905 Fort Washington Rd # 206 Ft Washington |
State: | MD US |
Postal Code: | 207445843 |
Phone Number: | 3012922400 |
Fax Number: | 3012921048 |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 07/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | D46285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |