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Individual

JAMES BRIAN HODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
5454 WISCONSIN AVE, SUITE 1555, CHEVY CHASE, MD 20815-6901
(301) 951-8593
(301) 951-8598
Mailing address
320 INSPIRATION LN, GAITHERSBURG, MD 20878-5801
(301) 990-7773

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20338
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1452-0011
CAREFIRST
DC
Enumeration date
09/15/2006
Last updated
07/08/2007
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