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GEORGE H WATHEN MD PA
NPI 1710168836
Specialist in Waldorf, MD

Active since November 16, 2007
SUITE 103, 11345 PEMBROOKE SQ, WALDORF, MD 20603(301) 645-8144(301) 870-8392 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About George H Wathen Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE H WATHEN MD PA (NPI 1710168836) is a healthcare organization registered as a specialist in Waldorf, Maryland and active in the NPI registry since November 2007. The organization lists George H Wathen, President, as its authorized official.

NPPES Registry Identity

NPI1710168836
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGEORGE H WATHEN MD PA
Location AddressSUITE 103, 11345 PEMBROOKE SQWaldorf, MD 20603-4804
Mailing Address11345 Pembrooke Sq, Suite 103Waldorf, MD 20603-4804 · (301) 645-8144 · Fax (301) 870-8392
Phone(301) 645-8144
Fax(301) 870-8392
Organization SubpartNo
Authorized OfficialGeorge H WathenPresident · (301) 645-8144
Enumeration DateNovember 16, 2007
Last NPPES UpdateFebruary 15, 2008
✔ NPI 1710168836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0020629
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

SUITE 103, Waldorf, MD 20603
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Other Identifiers 4

OtherDG5923R R Medicare
Medicare PING02195DC
Medicare PIN223N239GMD
Medicare UPINE21315

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is GEORGE H WATHEN MD PA's NPI number?

The NPI number assigned to this healthcare provider is 1710168836, enumerated as an "organization" on November 16, 2007.

Where is the provider located?

The provider is located at SUITE 103 11345 PEMBROOKE SQ WALDORF, MD 20603 and the phone number is (301) 645-8144.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.

What insurance does GEORGE H WATHEN MD PA accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.