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Organization
CORNERSTONE MONTGOMERY, INC.
Active
Organization
CORNERSTONE MONTGOMERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OSTROWSKI (BILLING SUPERVISOR)
(301) 493-4200
Entity
Organization
Contact information
Practice address
6040 SOUTHPORT DR, BETHESDA, MD 20814-1848
(301) 493-4200
(301) 493-6209
Mailing address
6040 SOUTHPORT DR, BETHESDA, MD 20814-1848
(301) 493-4200
(301) 493-6209
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2525020-00
—
MD
01
—
837AST
BLUE CROSS BLUE SHIELD
MD
01
—
WST000010
VALUEOPTIONS
VA
Enumeration date
07/26/2005
Last updated
02/18/2020
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