Provider Demographics
NPI:1336259894
Name:BRUMSKINE, EUPHEMIA R (MD)
Entity Type:Individual
Prefix:DR
First Name:EUPHEMIA
Middle Name:R
Last Name:BRUMSKINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9811 MALLARD DR
Mailing Address - Street 2:SUITE 118
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3143
Mailing Address - Country:US
Mailing Address - Phone:301-497-9490
Mailing Address - Fax:301-497-9493
Practice Address - Street 1:9811 MALLARD DR
Practice Address - Street 2:SUITE 118
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3143
Practice Address - Country:US
Practice Address - Phone:301-497-9490
Practice Address - Fax:301-497-9493
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0048365207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC6460OtherBS OF DC
G68404Medicare UPIN
MD490571Medicare ID - Type Unspecified