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Organization
MONTGOMERY INTERNAL MEDICINE ASSOC., P.A.
Active
Organization
MONTGOMERY INTERNAL MEDICINE ASSOC., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MALTZ M.D. (PRESIDENT)
(301) 774-6655
Entity
Organization
Contact information
Practice address
2901 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1521
(301) 774-6655
(301) 774-5652
Mailing address
2901 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1521
(301) 774-6655
(301) 774-5652
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
07/05/2006
Last updated
04/07/2010
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