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Individual

MAYA REISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11120 NEW HAMPSHIRE AVE, SUITE 103, SILVER SPRING, MD 20904-2633
(301) 681-7600
Mailing address
4110 ASPEN HILL RD, SUITE 200, ROCKVILLE, MD 20853-2853
(301) 438-5150

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0038101
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007234996
VA
05
007235437
VA
05
007235445
VA
05
007235461
VA
05
010072221
VA
05
010075190
VA
05
010075203
VA
05
010075211
VA
05
010075220
VA
05
017176300
DC
05
557641500
MD
Enumeration date
06/22/2006
Last updated
12/20/2013
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