Individual
DR. CAROLYN L AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10810 CONNECTICUT AVENUE, KENSINGTON, MD 20895-2138
(301) 929-7100
(301) 929-7114
Mailing address
2101 EAST JEFFERSON STREET, PPQAMEDICARE COMPLIANCE UNIT 6 WEST ATTN:THERESA BROOKS, ROCKVILLE, MD 20852-4909
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
050591
MD
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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