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Individual

DR. MARY ELIZABETH MANISCALCO-THEBERGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8901 ROCKVILLE PIKE, DEPARTMENT OF SURGERY, NATIONAL NAVAL MEDICAL CENTER, BETHESDA, MD 20889-0001
(301) 295-0290
Mailing address
11408 TOWERING OAK WAY, RESTON, VA 20194-1000
(202) 461-4089
(202) 501-2196

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28689
GA

Other

Enumeration date
01/26/2007
Last updated
05/08/2009
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