| |
5721 Grosvenor Ln Bethesda MD 20814-1833 | |
(301) 530-1600 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Nephrology |
Location | 5721 Grosvenor Ln, Bethesda, Maryland |
Authorized Official Name and Position | Krystle Brown (BILLING MANAGER) |
Authorized Official Contact | 4108709380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1205 York Rd Ste 11 Lutherville MD 21093-6211 Ph: () - | 5721 Grosvenor Ln Bethesda MD 20814-1833 Ph: (301) 530-1600 |
NPI Number | 1427814979 |
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Provider Enumeration Date | 02/22/2024 |
Last Update Date | 07/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427814979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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