Healthcare Provider Details

I. General information

NPI: 1124075734
Provider Name (Legal Business Name): JULIET C. NALDO, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 10/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 RIGGS RD
ADELPHI MD
20783-4246
US

IV. Provider business mailing address

7411 RIGGS RD
ADELPHI MD
20783-4246
US

V. Phone/Fax

Practice location:
  • Phone: 301-434-0924
  • Fax: 301-434-0052
Mailing address:
  • Phone: 301-434-0924
  • Fax: 301-434-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberD0046420
License Number StateMD

VIII. Authorized Official

Name: DR. JULIET CATIANG NALDO X
Title or Position: OWNER
Credential: MD
Phone: 301-434-0924