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Organization

MONTGOMERY MEDICAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANUSHIRAVAN DADGAR DO (OWNER)
(301) 279-2779
Entity
Organization

Contact information

Practice address
10110 MOLECULAR DRIVE, SUITE 206, ROCKVILLE, MD 20850-7542
(301) 279-2779
(301) 279-2767
Mailing address
10110 MOLECULAR DRIVE, SUITE 206, ROCKVILLE, MD 20850-7542
(301) 279-2779
(301) 279-2767

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0067332
MD
174400000X
Specialist
D0069766
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
404776100
MD
05
404776101
MD
Enumeration date
05/11/2006
Last updated
03/02/2017
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