Individual
DOLLY MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12070 OLD LINE CENTRE, SUITE 102, WALDORF, MD 20602
(301) 870-4100
(301) 870-5109
Mailing address
12070 OLD LINE CENTRE, SUITE 102, WALDORF, MD 20602
(301) 870-4100
(301) 870-5109
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0053174
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369510701
—
MD
Enumeration date
07/03/2006
Last updated
07/02/2010
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