Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD20892 | DC |
N | 111NI0900X | Internist | MD20892 | DC |
Y | 207RN0300X | Nephrologist | D46620 | MD |
NPI | 1053486993 |
---|---|
Provider Name | Dr. Mary Branton |
First Address | Rockville, MD 20852-4908 |
Second Address | Silver Spring, MD 20904-7803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 23/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F90317 | (02) |