Organization
KESSOUS & KESSOUS MD PC
Active
Other names
MONTGOMERY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFRAIM KESSOUS MD (OWNER/MD)
(732) 768-8939
Entity
Organization
Contact information
Practice address
800 S FREDERICK AVE, STE 100, GAITHERSBURG, MD 20877-4150
(732) 768-8939
(301) 498-1347
Mailing address
800 S FREDERICK AVE, STE 100, GAITHERSBURG, MD 20877-4150
(732) 768-8939
(301) 498-1347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0070798
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
D0066523
MD
Other
Enumeration date
08/05/2015
Last updated
07/05/2023
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