Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | D0075614 | MD |
NPI | 1467646380 |
---|---|
Provider Name | Antonietta Discepolo-Chiancone |
First Address | Calverton, MD 20705-3149 |
Second Address | Leonardtown, MD 20650-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 02/07/2015 |