Individual
DR. NICHOLE RENEE BRATHWAITE-DINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11932 APPALOOSA WAY, NORTH POTOMAC, MD 20878-3876
(301) 762-4252
Mailing address
11932 APPALOOSA WAY, NORTH POTOMAC, MD 20878-3876
(301) 762-4252
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
221417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02230000
—
NY
Enumeration date
11/21/2008
Last updated
11/21/2008
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