Individual
DR. CAROL ANN NIERODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7300 VAN DUSEN RD, EMERGENCY ROOM, LAUREL, MD 20707-9463
(301) 497-7954
Mailing address
10807 HAMPTON MILL TER, #130, ROCKVILLE, MD 20852-5460
(301) 231-7137
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
35.054679
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D45784
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0045784
MD
208600000X
Surgery Physician
D45784
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854314
—
MD
Enumeration date
01/17/2007
Last updated
07/16/2009
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