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ET FAMILY PRACTICE NPI 1740723212


NPI Information

NPI: 1740723212
Provider Name: ET FAMILY PRACTICE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
7500 HANOVER PKWY
202
GREENBELT, MD
ZIP 20770
Phone: (301) 220-0866
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ET FAMILY PRACTICE is a clinic center in Greenbelt, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ET FAMILY PRACTICE NPI is 1740723212. The provider is registered as an organization entity type.

The provider's business location address is:

7500 HANOVER PKWY
202
GREENBELT, MD
ZIP 20770-010
Phone: (301) 220-0866
Fax: (240) 510-9532

The provider's authorized official is Eta Stephen Tataw .
The authorized official title is Primary Care Provider and has the following contact phone number (240) 386-9682.

The enumeration date for this NPI number is 11/30/2016 and was last updated on 11/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterR178223MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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