Organization
US FOOD AND DRUG ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE MARIE SORETH M.D. (DEP DIRECTOR, SPECIAL MEDICAL PROG)
(240) 402-4981
Entity
Organization
Contact information
Practice address
4622 NOTTINGHAM DR, CHEVY CHASE, MD 20815-5345
(240) 401-9088
Mailing address
4622 NOTTINGHAM DR, CHEVY CHASE, MD 20815-5345
(240) 401-9088
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101043387
VA
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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