Organization
ODE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M COTTON (ADMIMISTRATIVE DIRECTOR)
(301) 873-2529
Entity
Organization
Contact information
Practice address
6323 GEORGIA AVE NW, SUITE 200, WASHINGTON, DC 20011-1101
(202) 291-1148
(202) 291-1205
Mailing address
14725 JAYSTONE DR, SILVER SPRING, MD 20905-7410
(301) 989-0651
(301) 384-1083
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD16434
DC
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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