Provider Demographics
NPI:1447642798
Name:TOWNSEND MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:TOWNSEND MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALEE
Authorized Official - Middle Name:P
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:240-423-7923
Mailing Address - Street 1:11304 STRAWBERRY GLENN LN
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9125
Mailing Address - Country:US
Mailing Address - Phone:240-423-7923
Mailing Address - Fax:
Practice Address - Street 1:11304 STRAWBERRY GLENN LN
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9125
Practice Address - Country:US
Practice Address - Phone:240-423-7923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR108984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty