Individual
STEPHEN J CHANOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11011 GLEN RD, POTOMAC, MD 20854-1439
(301) 299-3075
Mailing address
11011 GLEN RD, POTOMAC, MD 20854-1439
(301) 299-3075
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56661
MA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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