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Individual

DR. MARY JO CANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8945 N WESTLAND DR, GAITHERSBURG, MD 20877-1249
(301) 330-0006
Mailing address
20909 SUNNYACRES RD, GAITHERSBURG, MD 20882-1248
(240) 330-2430

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
D28907
MD

Other

Enumeration date
02/07/2013
Last updated
12/11/2023
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