Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George H Wathen MD PA

Organization Specialist · NPI 1710168836

George H Wathen MD PA provides Specialist services in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Suite 103 11345 Pembrooke Sq
Waldorf, MD 20603-4804 Not confirmed with CMS for 18 years — call before visiting
Phone: (301) 645-8144
Fax: (301) 870-8392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence D0020629 (MD)

Record details

NPI number1710168836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Wathen — President · (301) 645-8144
NPI enumeratedNovember 16, 2007
Last updated in NPPESFebruary 15, 2008
Mailing address11345 Pembrooke Sq, Suite 103, Waldorf, MD 20603-4804

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