Search › Maryland › 207P00000X
Brunilda Late, M.D
NPI 1477949295 · on the registry since 2015
Practice
- Address
- 13400 Edgemeade Rd
Upper Marlboro, MD 20772 - Phone
- (301) 358-0192
- Organisation at this address
- The Recovery Village Maryland, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Additional practice sites
- 10100 Fairfax Blvd, Fairfax, VA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
2083A0300X
390200000X - Licence states on file
- VA, PA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland