Glenn R. Edgecombe, Md,Pc

LBN: Glenn R. Edgecombe, Md,Pc
Glenn R. Edgecombe, Md,Pc is an health care organization with primary practice located at 7700 Old Branch Ave B201, Clinton MD 20735-1628. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Glenn R. Edgecombe, Md,Pc can be contacted via phone (301) 868-0150, or through Edgecombe, Glenn Robert via phone (301) 868-0150.

Contact Information

Primary practice address
7700 Old Branch Ave B201 Clinton MD 20735-1628
Phone: (301) 868-0150
Fax: (301) 868-0243
Website:
Map and Directions
Authorized official contact:
Name: Edgecombe, Glenn Robert Doctor of Medicine (MD)
Phone: (301) 868-0150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0023826 Maryland

Profile Details

NPI number 1083966055
LBN Legal business name Glenn R. Edgecombe, Md,Pc
DBA Doing business as
Authorized official Edgecombe, Glenn Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2012
Last updated Oct 15th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083966055 NPPES
Maryland MEDICAID 020751900

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