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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRYSTAL MEDICAL ASSOCIATES LLC

Active Organization

KRYSTAL MEDICAL ASSOCIATES LLC is a Primary Care Clinic organization located in GLENN DALE, Maryland. NPI 1164604187 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · GLENN DALE, MD

Registration Details

NPI Number
1164604187
Provider Type
Organization
NPI Issued
Nov 30, 2007 (18.700414965911 yrs)
Last Updated
Aug 18, 2014
Licenses
D0053461 (MD)
D0053461 (MD)

Practice Information

Address
12150 ANNAPOLIS RD
SUITE 100
GLENN DALE, MD, 207699183
Browse MD providers · Browse ZIP 20769
Phone
3014647601
Fax
8668859817
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic

Other Primary Care Clinic Organizations in GLENN DALE, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.