Organization · Type 2 NPI

Suburban Nephrology Associates LLC

Specialist · Glenn Dale, MD

NPI number 1972748192 Active

Practice location

12200 Annapolis Rd Ste 233
Glenn Dale, MD 20769-9182

Fax (301) 699-1703

Mailing address

4404 Queensbury Road, Suite #100
Riverdale, MD 20737

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972748192

Suburban Nephrology Associates LLC's National Provider Identifier is 1972748192, issued on Dec 3, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glenn Dale, MD. The record was last updated on Apr 6, 2023.