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Organization
AMERICAN DIVERSITY GROUP INC
Active
Organization
AMERICAN DIVERSITY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAYUR MODY (EXECUTIVE DIRECTOR)
(240) 330-9421
Entity
Organization
Contact information
Practice address
12210 PLUM ORCHARD DR STE 214, SILVER SPRING, MD 20904-7913
(240) 330-9421
(240) 293-3784
Mailing address
21204 DORSEY SPRING PL, GERMANTOWN, MD 20876-6923
(240) 330-9421
(240) 293-3784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
10/07/2024
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