Individual
JOHN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
21034 WOODFIELD RD, GAITHERSBURG, MD 20882-1203
(301) 509-4150
Mailing address
21034 WOODFIELD RD, GAITHERSBURG, MD 20882-1203
(301) 509-4150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R135272
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R135272
STATE OF MARYLAND
MD
Enumeration date
11/16/2017
Last updated
11/16/2017
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