Provider Demographics
NPI:1922604743
Name:NORTH BETHESDA PRIMARY CARE
Entity Type:Organization
Organization Name:NORTH BETHESDA PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:POSSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-941-4414
Mailing Address - Street 1:11300 ROCKVILLE PIKE STE 1015
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3074
Mailing Address - Country:US
Mailing Address - Phone:301-941-4414
Mailing Address - Fax:301-941-4404
Practice Address - Street 1:11300 ROCKVILLE PIKE STE 1015
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3074
Practice Address - Country:US
Practice Address - Phone:301-941-4414
Practice Address - Fax:301-941-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care