Organization
MGHCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSI TANEJA MD (MEDICAL DIRECTOR)
(203) 836-0534
Entity
Organization
Contact information
Practice address
12413 RIVERS EDGE DR, POTOMAC, MD 20854-1071
(203) 836-0534
Mailing address
12413 RIVERS EDGE DR, POTOMAC, MD 20854-1071
(203) 836-0534
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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