Antioch Primary Care Llc in College Park - Internal Medicine
Antioch Primary Care Llc - NPI 1558443762
Antioch Primary Care Llc is a Internal Medicine in College Park, Maryland. Antioch Primary Care Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Antioch Primary Care Llc is 1558443762. The last update date is 2008-05-28.
Antioch Primary Care Llc's current location address is 4700 Berwyn House Rd, College Park, Maryland. You can contact this provider via phone number 2404731090. The mailing address for Antioch Primary Care Llc is 4700 Berwyn House Rd, College Park, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antioch Primary Care Llc |
|---|---|
| Address | 4700 Berwyn House Rd, College Park, Maryland |
| Phone Number | 2404731090 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Conner Jonita |
| Credentials | MD |
| Telephone Number | 2404731090 |
NPI Number Detail
| NPI Number | 1558443762 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2008-05-28 |
Provider Mailing Address Detail
| Address | 4700 Berwyn House Rd |
|---|---|
| City | College Park |
| State | Maryland (MD) |
| Post Code | 20740 |
| Phone Number | 2404731090 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identifier code issued to Antioch Primary Care Llc by the Centers for Medicare & Medicaid Services?
The Antioch Primary Care Llc has been assigned the NPI (National Provider Identifier) 1558443762 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Antioch Primary Care Llc's facilities are situated?
The facilities of Antioch Primary Care Llc are physically located at the following address: 4700 Berwyn House Rd, College Park, MD, 20740.
What is the area of specialization for Antioch Primary Care Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Antioch Primary Care Llc is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did Antioch Primary Care Llc receive its 1558443762 assignment from the Centers for Medicare & Medicaid Services?
The Antioch Primary Care Llc was assigned its 1558443762 on 2006-10-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Antioch Primary Care Llc most recently updated?
The details pertaining to the Antioch Primary Care Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-28.
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