Organization
ANNE C. MAZONSON, MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE MAZONSON (OWNER)
(301) 657-5655
Entity
Organization
Contact information
Practice address
4807 SAINT ELMO AVE, SUITE 200, BETHESDA, MD 20814-7044
(301) 657-5655
(301) 657-2814
Mailing address
4807 SAINT ELMO AVE, SUITE 200, BETHESDA, MD 20814-7044
(301) 657-5655
(301) 657-2814
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D41821
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01869
GROUP NUMBER
MD
Enumeration date
03/18/2008
Last updated
03/18/2008
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