Organization Name: | MEDSTAR HEALTH AT BRANDYWINE |
NPI Number: | 1518312990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY L SYLVESTER (DIRECTOR OF FINANCE AND BILLING) |
Mailing Address: | 13950 Brandywine Rd Suite 150 Brandywine |
State: | MD US |
Postal Code: | 206135815 |
Phone Number: | 3017822220 |
Fax Number: | 3017822221 |
NPI Enumeration Date: | 05/04/2016 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |