Organization Name: | TOWNSEND MEDICAL ASSOCIATES |
NPI Number: | 1447642798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSALEE P TOWNSEND (OWNER) |
Mailing Address: | 11304 Strawberry Glenn Ln Glenn Dale |
State: | MD US |
Postal Code: | 207699125 |
Phone Number: | 2404237923 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2015 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R108984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |