Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | H0082469 | MD |
NPI | 1265870703 |
---|---|
Provider Name | Anne B Halsey |
First Address | Rockville, MD 20852-4908 |
Second Address | Rockville, MD 20852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2013 |
Last Update Date | 01/12/2021 |