| Montgomery Infectious Disease Associates,pa | |
|
8630 Fenton St Suite 700 Silver Spring MD 20910-3806 | |
| (301) 588-2525 | |
| (301) 588-3447 |
| Full Name | Montgomery Infectious Disease Associates,pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8630 Fenton St, Silver Spring, Maryland |
| Authorized Official Name and Position | Phuong D Trinh (PRESIDENT) |
| Authorized Official Contact | 3015883322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Infectious Disease Associates,pa 8630 Fenton Street Suite 700 Silver Spring MD 20910 Ph: (301) 588-2525 | Montgomery Infectious Disease Associates,pa 8630 Fenton St Suite 700 Silver Spring MD 20910-3806 Ph: (301) 588-2525 |
| NPI Number | 1790741759 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 06/19/2009 |
| Medicare PECOS PAC ID | 2163493685 |
|---|---|
| Medicare Enrollment ID | O20040805001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790741759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Rebecca Shaffer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104932805 PECOS PAC ID: 5395847099 Enrollment ID: I20070227000488 |
| Provider Name | Phuong Trinh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679536486 PECOS PAC ID: 8022169705 Enrollment ID: I20110502000263 |
| Provider Name | Lynette Posorske |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598728305 PECOS PAC ID: 0244316917 Enrollment ID: I20110622000398 |
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