Organization
MONTAGUE BLUNDON, III, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTAGUE BLUNDON III M.D. (OWNER)
(301) 897-5505
Entity
Organization
Contact information
Practice address
5640 SHIELDS DR, WYNGATE MEDICAL PARK, BETHESDA, MD 20817-3573
(307) 897-5505
(301) 897-0887
Mailing address
5640 SHIELDS DR, WYNGATE MEDICAL PARK, BETHESDA, MD 20817-3573
(301) 897-5505
(301) 897-0887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0025637
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266081400
—
MD
Enumeration date
01/31/2011
Last updated
02/15/2011
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