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Individual

DR. MISHA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12850 MIDDLEBROOK RD STE 200, GERMANTOWN, MD 20874-5244
(301) 540-5900
(301) 540-8974
Mailing address
12850 MIDDLEBROOK RD STE 200, GERMANTOWN, MD 20874-5244
(301) 540-5900
(301) 540-8974

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0055283
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
404760500
MD
Enumeration date
02/03/2006
Last updated
07/01/2020
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