# MONTGOMERY ENDOCRINOLOGY LLC

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

## Provider details

- **NPI number:** 1396042941
- **Authorized official:** MONIKA MANNAN MD (SOLE MBR)
- **Authorized official phone:** (301) 251-0662

## Contact information

- **Practice address:** 50 W EDMONSTON DR STE 600, ROCKVILLE, MD 20852-1254
- **Practice address phone:** (301) 251-0662
- **Practice address fax:** (301) 251-7703
- **Mailing address:** PO BOX 60528, POTOMAC, MD 20859-0528
- **Mailing address phone:** (301) 251-0662
- **Mailing address fax:** (301) 251-7703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | D0059510 | MD | Yes |

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 02/17/2011