Individual
DR. MARY CANDACE DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, STE 1510, CHEVY CHASE, MD 20815-4404
(301) 654-5530
(301) 654-5540
Mailing address
5530 WISCONSIN AVE, STE 1510, CHEVY CHASE, MD 20815-4404
(301) 654-5530
(301) 654-5540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0052162
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340017912
RR MEDICARE
—
Enumeration date
02/19/2007
Last updated
11/06/2013
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