Individual
STEPHANIE ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4300
Mailing address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT190203
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD038714
DC
Other
Enumeration date
05/02/2007
Last updated
06/11/2021
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