Healthcare Provider Details

I. General information

NPI: 1962440313
Provider Name (Legal Business Name): MONETTE PIERRE-LOUIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 UNIVERSITY BLVD E
SILVER SPRING MD
20903-3701
US

IV. Provider business mailing address

1101 CHISWELL LN
SILVER SPRING MD
20901-1118
US

V. Phone/Fax

Practice location:
  • Phone: 301-434-3999
  • Fax:
Mailing address:
  • Phone: 301-326-3198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0052698
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: