| Maryland Institute For Neuroscience And Development | |
|
5480 Wisconsin Ave #228 Chevy Chase MD 20815-3530 | |
| (301) 576-6044 | |
| (301) 576-1645 |
| Full Name | Maryland Institute For Neuroscience And Development |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 5480 Wisconsin Ave, Chevy Chase, Maryland |
| Authorized Official Name and Position | Gonzalo Laje (PRESIDENT) |
| Authorized Official Contact | 3015766044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Institute For Neuroscience And Development 5480 Wisconsin Ave #228 Chevy Chase MD 20815-3530 Ph: () - | Maryland Institute For Neuroscience And Development 5480 Wisconsin Ave #228 Chevy Chase MD 20815-3530 Ph: (301) 576-6044 |
| NPI Number | 1295089480 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295089480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | D62330 (Maryland) | Primary |
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