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Organization

MONTGOMERY COUNTY GOVERMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA AZUCENA CORTEZ (MANAGEMENR)
(240) 672-6758
Entity
Organization

Contact information

Practice address
12900 MIDDLEBROOK RD, GERMANTOWN, MD 20874-2672
(240) 777-3380
(240) 777-4648
Mailing address
101 MONROE ST, ROCKVILLE, MD 20850-2503
(240) 777-2500

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary

Other

Enumeration date
06/08/2022
Last updated
09/09/2025
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