Organization
MARY C DUPONT MD PC
Active
Other names
Dupont Center for Urology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBERT DUPONT J.D. (PRACTICE ADMINISTRATOR)
(301) 654-5530
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE, STE 1510, CHEVY CHASE, MD 20815-4404
(301) 654-5530
(301) 654-5540
Mailing address
5530 WISCONSIN AVE, STE 1510, CHEVY CHASE, MD 20815-4404
(301) 654-5530
(301) 654-5540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0052162
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340017912
RR MEDICARE
—
Enumeration date
07/08/2006
Last updated
11/06/2013
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