# MONTGOMERY INTERNAL MEDICINE ASSOC., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083645220
- **Authorized official:** DR. JONATHAN MALTZ M.D. (PRESIDENT)
- **Authorized official phone:** (301) 774-6655

## Contact information

- **Practice address:** 2901 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1521
- **Practice address phone:** (301) 774-6655
- **Practice address fax:** (301) 774-5652
- **Mailing address:** 2901 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1521
- **Mailing address phone:** (301) 774-6655
- **Mailing address fax:** (301) 774-5652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 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