11100 Billingsley Road Opco Llc

Specialty details in registry · Waldorf, MD

Call (240) 754-6137 Directions

At a glance

11100 Billingsley Rd, Waldorf, MD 20602-3400

NPPES record updated Sep 30, 2025. Public records can lag behind changes at a practice.

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Practice location

11100 Billingsley Rd
Waldorf, MD 20602-3400

Professional details: NPI, taxonomy & registry record

NPI1639043011

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 324500000X
Enumeration date: Sep 30, 2025
Record updated: Sep 30, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QR0405X

Specialty details in registry

324500000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11100 Billingsley Rd
Waldorf, MD 20602-3400

Phone: (240) 754-6137

Mailing address

2201 RENAISSANCE BLVD FL 3

KING OF PRUSSIA, PA 194062709

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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