Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA AZUCENA CORTEZ (MANAGEMENT)
(240) 672-6758
Entity
Organization
Contact information
Practice address
12900 MIDDLEBROOK RD STE 24, GERMANTOWN, MD 20874-2672
(240) 777-1609
Mailing address
12900 MIDDLEBROOK RD, GERMANTOWN, MD 20874-2672
(240) 777-1609
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
01/15/2026
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