Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 22430 | NC |
NPI | 1083652861 |
---|---|
Provider Name | Dr. Merrily Ann Poth |
First Address | Silver Spring, MD 20910-5023 |
Second Address | Bethesda, MD 20814-4712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 08/07/2007 |