Individual
DR. THADDEUS DEMETRIUS MAMIENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8901 WISCONSIN AVE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, BETHESDA, MD 20889-0001
(215) 872-7216
Mailing address
4512 EVERETT ST, KENSINGTON, MD 20895-4124
(215) 872-7216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102201967
VA
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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