Individual
GRACE THAMMASUVIMOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 THOMAS JOHNSON DR STE 200, FREDERICK, MD 21702-6200
(301) 695-8390
(301) 694-7906
Mailing address
170 THOMAS JOHNSON DR STE 200, FREDERICK, MD 21702-6200
(301) 695-8390
(301) 694-7906
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D72357
MD
Other
Enumeration date
04/15/2009
Last updated
09/22/2014
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