MEDICARE: MARIA BELEN MENUCCI 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	207R00000X	Internal Medicine Physician	P23413	MD
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D0072609	MD

General Provider Information

NPI Number	:	1912155334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA BELEN MENUCCI M.D.

Provider Business Mailing Address
First Line	:	8807 COLESVILLE RD
Second Line	:	5TH FLOOR
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4346
Country	:	US
Telephone Number	:	855-362-1858
Fax Number	:

Provider Business Practice Location Address
First Line	:	8807 COLESVILLE RD
Second Line	:	5TH FLOOR
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4346
Country	:	US
Telephone Number	:	855-362-1858
Fax Number	:

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

Provider Enumeration Date	:	08/28/2008
Last Update Date	:	07/09/2014

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