# MONTGOMERY SPORTS MEDICINE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ERAN KESSOUS MD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043898018
- **Legal business name:** ERAN KESSOUS MD PC
- **Authorized official:** ERAN KESSOUS MD (DIRECTOR)
- **Authorized official phone:** (301) 754-0505

## Contact information

- **Practice address:** 6931 ARLINGTON RD STE 550, BETHESDA, MD 20814-7217
- **Practice address phone:** (301) 754-0505
- **Practice address fax:** (301) 754-0509
- **Mailing address:** 11120 NEW HAMPSHIRE AVE STE 411, SILVER SPRING, MD 20904-2620
- **Mailing address phone:** (301) 754-0505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2021
- **Last updated:** 03/31/2021