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Shady Grove Minimally Invasive
Specialist in Rockville, Maryland
NPI 1083974307

Shady Grove Minimally Invasive is a Specialist based in Rockville, MD. Shady Grove Minimally Invasive practices in Rockville, MD. The NPI Number for Shady Grove Minimally Invasive is 1083974307 and holds a License No. D0072779 (Maryland).

The current practice location address for Shady Grove Minimally Invasive is 2403 Research Blvd, Rockville, MD and can be reached out via phone at 703-868-1235.

Location: 2403 Research Blvd, Rockville, MD, 20850-2744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083974307
Provider Name
Shady Grove Minimally Invasive
Credential
Provider Entity Type
Organization
Address
2403 Research Blvd, Rockville, MD, 20850-2744
Phone Number
703-868-1235
Fax Number
Provider Enumeration Date
05/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2403 Research Blvd
City
Rockville
State
Maryland
Zip
20850-6233
Phone Number
703-868-1235
Fax Number
person
Provider Business Mailing Address Details
Address
2403 Research Blvd
City
Rockville
State
Maryland
Zip
20850-6233
Phone Number
703-868-1235
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D0072779 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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