Montgomery County Maryland Government
Specialty details in registry · Rockville, MD
At a glance
4910 Macon Rd, Rockville, MD 20852-2228
NPPES record updated Sep 9, 2025. Public records can lag behind changes at a practice.
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Practice location
4910 Macon RdRockville, MD 20852-2228
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QP0905X
- Enumeration date
- Jun 8, 2022
- Record updated
- Sep 9, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QP0905X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4910 Macon RdRockville, MD 20852-2228
- Phone
- (240) 740-4430
- Fax
- (301) 468-4532
Mailing address
401 HUNGERFORD DR # 6THROCKVILLE, MD 208504154
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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