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Individual

DR. NASIM NICHOLE REEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
806 W DIAMOND AVE, SUITE 310, GAITHERSBURG, MD 20878-1415
(727) 215-7280
Mailing address
806 W DIAMOND AVE, SUITE 310, GAITHERSBURG, MD 20878-1415
(727) 215-7280

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H0081997
MD
208000000X
Pediatrics Physician
UO2691
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H0081997
MARYLAND STATE LICENSE
MD
Enumeration date
05/25/2011
Last updated
12/30/2016
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