Organization
GERMANTOWN PRIMARY CARE ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A JALLER (PRESIDENT)
(301) 528-7110
Entity
Organization
Contact information
Practice address
19500 AMARANTH DR, SUITE B, GERMANTOWN, MD 20874-1209
(301) 528-7110
Mailing address
19500 AMARANTH DR, SUITE B, GERMANTOWN, MD 20874-1209
(301) 528-7110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0033138
MD
Other
Enumeration date
03/24/2009
Last updated
05/21/2009
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