Individual
CAROLINE ELISABETH WELLBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
803 RUSSELL AVE # 1, SECURE MEDICAL CARE, GAITHERSBURG, MD 20879-3584
(301) 869-0700
(301) 947-9513
Mailing address
5301 WESTBARD CIR, #417, BETHESDA, MD 20816-1401
(301) 913-9143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0046323
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0046323
PROFESSIONAL LICENSE
MD
Enumeration date
07/21/2006
Last updated
08/30/2021
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