Organization
MADELIENE ELAINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELIENE GAINERS MD (OWNER)
(412) 638-8585
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE STE 612, CHEVY CHASE, MD 20815-4430
(412) 638-8585
Mailing address
10536 JOYCETON DR, LARGO, MD 20774-1332
(412) 638-8585
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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