Bridges, Vestinia Madonna

Bridges, Vestinia Madonna is an individual health care provider with primary practice located at 8926 Woodyard Road Suite 701, Clinton MD 20735. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Bridges, Vestinia Madonna can be contacted via phone (301) 856-1682.

Contact Information

Primary practice address
8926 Woodyard Road Suite 701 Clinton MD 20735
Phone: (301) 856-1682
Fax: (301) 856-0964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0052474 Maryland
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101231874 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD30799 District of Columbia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101231874 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D0052474 Maryland

Profile Details

NPI number 1609808773
LBN Legal business name Bridges, Vestinia Madonna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609808773 NPPES
Other P00109905 MEDICARE RAILROAD PTAN #
Other 46950011 MEDICARE RAILROAD PTAN #

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