Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George H Wathen MD PA

Organization Specialist · NPI 1710168836

George H Wathen MD PA is a Specialist in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Suite 103 11345 Pembrooke Sq
Waldorf, MD 20603-4804
Phone: (301) 645-8144
Fax: (301) 870-8392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence D0020629 (MD)

Record details

NPI number1710168836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Wathen — President · (301) 645-8144
NPI enumeratedNovember 16, 2007
Last updated in NPPESFebruary 15, 2008
Mailing address11345 Pembrooke Sq, Suite 103, Waldorf, MD 20603-4804

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