Organization
ENDOCRINE AND DIABETES ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA ANNE PETRICK MD (ADMINISTRATOR)
(301) 983-3734
Entity
Organization
Contact information
Practice address
8722 HICKORY BEND TRAIL, POTOMAC, MD 20854-2557
(301) 983-3734
(301) 983-0653
Mailing address
8722 HICKORY BEND TRAIL, POTOMAC, MD 20854-2557
(301) 983-3734
(301) 983-0653
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0031800
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5499011
—
MD
Enumeration date
06/17/2005
Last updated
04/08/2025
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