Individual
TERRY G DALLETEZZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 GREENPLACE TER, ROCKVILLE, MD 20850-2947
(301) 279-6480
Mailing address
1815 GREENPLACE TER, ROCKVILLE, MD 20850-2947
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0054830
MD
Other
Enumeration date
08/31/2006
Last updated
11/30/2007
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