Overview Referral Sources Referral Destinations Practice Locations 1 Prescriptions Procedures Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
6104 OLD BRANCH AVENUE KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKS
TEMPLE HILLS, MD 20748-2518 US
PECOS Enrolled

Reginald M Wallen

Family Medicine Physician

Reginald M Wallen

Overview

Reginald M Wallen is a Family Medicine Physician in the TEMPLE HILLS area. Reginald M Wallen primary office location is at 6104 OLD BRANCH AVENUE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1225194210 and the information was updated approximately 18 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
6104 OLD BRANCH AVENUE KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKS
TEMPLE HILLS, MD 20748-2518 US
Phone: (301)-702-6100
Fax:
Practice Mailing Information
2101 EAST JEFFERSON STREET
ROCKVILLE, MD 20748-2518 US
Phone: (301)-816-6660
Fax: (301)-816-6308
License Number State
0101044800 VA
D35317 MD
MD16350 DC

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