Organization
DRS MININBERG & FECHTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE A STEWART (PRACTICE ADMINISTRATOR)
(301) 681-2683
Entity
Organization
Contact information
Practice address
10301 GEORGIA AVE, STE 105A, SILVER SPRING, MD 20902-5020
(301) 681-2683
(301) 681-1494
Mailing address
10301 GEORGIA AVE, STE 105A, SILVER SPRING, MD 20902-5020
(301) 681-2683
(301) 681-1494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4768
DC
174400000X
Specialist
Primary
D08092
MD
174400000X
Specialist
D46443
MD
174400000X
Specialist
G067028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1147760001
DMERC
MD
Enumeration date
11/14/2006
Last updated
08/22/2020
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