Pax River Medical Clinic, LLC
Pax River Medical Clinic, LLC provides General Practice Physician services in Lexington Park, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
46940 S Shangri La Dr Ste #19Lexington Park, MD 20653-1037 Not confirmed with CMS for 12 years — call before visiting
Phone: (301) 863-8101
Fax: (301) 863-8130
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence H0055958 (MD) |
|---|
Record details
| NPI number | 1083807085 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katherine Martin — Owner · (301) 863-8101 |
| NPI enumerated | August 22, 2007 |
| Last updated in NPPES | May 9, 2014 |
| Mailing address | 46940 S Shangri La Dr, Suite #19, Lexington Park, MD 20653-1037 |
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