Individual
ANTONIETTA DISCEPOLO-CHIANCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-6106
(301) 475-6431
Mailing address
4061 POWDER MILL RD, SUITE 210, CALVERTON, MD 20705-3149
(202) 669-8501
(240) 846-1490
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
D0075614
MD
Other
Enumeration date
09/04/2007
Last updated
07/02/2015
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