Organization
EAR, NOSE & THROAT SPECIALISTS OF SHADY GROVE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. RENEE MONEYHUN M.D. (PRESIDENT)
(301) 315-5888
Entity
Organization
Contact information
Practice address
9420 KEY WEST AVE, SUITE 430, ROCKVILLE, MD 20850-3334
(301) 315-5888
(301) 315-5866
Mailing address
9420 KEY WEST AVE, SUITE 430, ROCKVILLE, MD 20850-3334
(301) 315-5888
(301) 315-5866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406347300
—
MD
Enumeration date
05/26/2006
Last updated
09/01/2010
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