MONTGOMERY INTERNAL MEDICINE ASSOC. P.A. NPI 1083645220

NPI Information

NPI: 1083645220
Provider Name: MONTGOMERY INTERNAL MEDICINE ASSOC., P.A.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
2901 OLNEY SANDY SPRING RD
OLNEY, MD
ZIP 20832
Phone: (301) 774-6655
Get Directions

MONTGOMERY INTERNAL MEDICINE ASSOC., P.A. is an adult medicine family medicine in Olney, MD. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MONTGOMERY INTERNAL MEDICINE ASSOC., P.A. NPI is 1083645220. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2901 OLNEY SANDY SPRING RD
OLNEY, MD
ZIP 20832-521
Phone: (301) 774-6655
Fax: (301) 774-5652

The provider's authorized official is Jonathan Maltz .
The authorized official title is President and has the following contact phone number (301) 774-6655.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
3	207R00000X	Internal Medicine		No
4	207QA0505X	Family Medicine	Adult Medicine	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	409904	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
2	9112715	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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