Organization
MERCY THOMASKUTTY M.D. CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERCY THOMASKUTTY M.D. (PRESIDENT)
(301) 948-1515
Entity
Organization
Contact information
Practice address
17854 BOWIE MILL RD, ROCKVILLE, MD 20855-1609
(301) 948-1515
(301) 948-1513
Mailing address
17854 BOWIE MILL RD, ROCKVILLE, MD 20855-1609
(301) 948-1515
(301) 948-1513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D002546
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08286MK05
MARYLAND BLUESHIELD
MD
01
—
7678
D.C.BLUECROSS BLUESHIELD
MD
Enumeration date
04/07/2008
Last updated
05/15/2008
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