Healthcare Provider Details

I. General information

NPI: 1407559503
Provider Name (Legal Business Name): CARLEY RACHEL AUBERTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10810 DARNESTOWN RD STE 101
GAITHERSBURG MD
20878-2604
US

IV. Provider business mailing address

10810 DARNESTOWN RD STE 101
GAITHERSBURG MD
20878-2604
US

V. Phone/Fax

Practice location:
  • Phone: 301-762-3338
  • Fax:
Mailing address:
  • Phone: 301-762-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number01824
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: