MEDICARE: MAUREEN D PASSARO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D0044487	MD

General Provider Information

NPI Number	:	1316940141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN D PASSARO M.D.

Provider Business Mailing Address
First Line	:	2901 OLNEY SANDY SPRING RD
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1521
Country	:	US
Telephone Number	:	301-774-6655
Fax Number	:	301-774-5652

Provider Business Practice Location Address
First Line	:	18109 PRINCE PHILIP DR STE B
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1519
Country	:	US
Telephone Number	:	301-774-4529
Fax Number	:	301-774-5652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/30/2024

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