Individual
GINA STANDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF MARYLAND HEALTH CTR, 140 CAMPUS DRIVE, COLLEGE PARK, MD 20742-0001
(301) 314-8162
Mailing address
15222 BAUGHMAN DR, SILVER SPRING, MD 20906-1202
(301) 438-2322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD48218
MD
Other
Enumeration date
04/17/2007
Last updated
11/22/2021
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