Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | D0055237 | MD |
NPI | 1174840201 |
---|---|
Provider Name | Trina Menden Anglin |
First Address | Rockville, MD 20852-1750 |
Second Address | Rockville, MD 20852-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 29/04/2010 |