Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Other names
Dennis Avenue Clinic, Immunizations Dennis
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Authorized official
DIANA AZUCENA CORTEZ (MANAGEMENT)
(240) 672-6758
Entity
Organization
Contact information
Practice address
2000 DENNIS AVE, SILVER SPRING, MD 20902-4136
(240) 777-1050
Mailing address
401 HUNGERFORD DR FL 6, ROCKVILLE, MD 20850-4154
(240) 777-4520
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420880300
—
MD
Enumeration date
04/06/2007
Last updated
01/15/2026
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