# KESSOUS & KESSOUS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MONTGOMERY MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447636048
- **Authorized official:** DR. EFRAIM KESSOUS MD (OWNER/MD)
- **Authorized official phone:** (732) 768-8939

## Contact information

- **Practice address:** 800 S FREDERICK AVE, STE 100, GAITHERSBURG, MD 20877-4150
- **Practice address phone:** (732) 768-8939
- **Practice address fax:** (301) 498-1347
- **Mailing address:** 800 S FREDERICK AVE, STE 100, GAITHERSBURG, MD 20877-4150
- **Mailing address phone:** (732) 768-8939
- **Mailing address fax:** (301) 498-1347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0070798 | MD | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | D0066523 | MD | — |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 07/05/2023