Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | D0046308 | MD |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | D0046308 | MD |
NPI | 1275576670 |
---|---|
Provider Name | Dr. Gena T Manley |
First Address | Rockville, MD 20850 |
Second Address | Rockville, MD 20850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
596091601 | (05) | MD |
F43154 | (02) | MD |