OrganizationActive
Coryse Brathwaite-Dean, MD, PC
NPI 1306099833 · Medical Specialty Clinic/Center · Waldorf, MD
Provider details
- NPI number
- 1306099833
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Coryse Brathwaite, Owner(301) 705-6500
- License
- D46239 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3460 Old Washington Rd
Suite 101
Waldorf, MD 20602-3240
Phone: (301) 705-6500
Fax: (301) 705-5822
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6438
Waldorf, MD 20603-6438
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2008-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.