Individual
DR. INNA LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16220 FREDERICK RD, SUITE 420, GAITHERSBURG, MD 20877-4039
(301) 330-3335
(301) 330-3359
Mailing address
16220 FREDERICK RD, SUITE 420, GAITHERSBURG, MD 20877-4039
(301) 330-3335
(301) 330-3359
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0061673
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405923900
—
MD
Enumeration date
05/01/2006
Last updated
09/10/2012
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