Individual
GEORGE T CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8630 FENTON ST STE 122, SILVER SPRING, MD 20910-3803
(301) 588-0057
(301) 588-0014
Mailing address
PO BOX 1022, CLARKSBURG, MD 20871-1022
(301) 588-0057
(301) 588-0014
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D57785
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004454700
—
MD
Enumeration date
12/19/2005
Last updated
03/17/2018
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