Organization
KID'S NEURO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE CRENSHAW (BILLING SUPERVISOR)
(301) 841-7251
Entity
Organization
Contact information
Practice address
7912 DECLARATION LN, POTOMAC, MD 20854-3754
(301) 320-6665
(301) 273-2773
Mailing address
7912 DECLARATION LN, POTOMAC, MD 20854-3754
(301) 320-6665
(301) 273-2773
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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