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LEISURE WORLD OF MARYLAND CORP. NPI 1326076894


NPI Information

NPI: 1326076894
Provider Name: LEISURE WORLD OF MARYLAND, CORP.

Doing Business As: LEISURE WORLD MEDICAL CENTER

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3305 N LEISURE WORLD BLVD
SILVER SPRING, MD
ZIP 20906
Phone: (301) 598-1590
Get Directions

LEISURE WORLD OF MARYLAND, CORP. is a geriatric medicine internal medicine in Silver Spring, MD. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. LEISURE WORLD OF MARYLAND, CORP. NPI is 1326076894. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Leisure World Medical Center.

The provider's business location address is:

3305 N LEISURE WORLD BLVD
SILVER SPRING, MD
ZIP 20906-367
Phone: (301) 598-1590
Fax: (301) 598-1569

The provider's authorized official is Virginia Bronaugh .
The authorized official title is Administrator and has the following contact phone number (301) 598-1550.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CA5483OTHERRAILROAD MEDICARE
2B773OTHERBLUECROSS/BLUE SHIELD

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: 4/28/2024

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