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General NPI Number Information
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NPI Number | 1851654875
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Entity Type | Individual
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Provider Name | PATRICIA CORTAZAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 12130 GLEN MILL RD
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City | POTOMAC
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State | MD
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Zip | 20854-1923
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Country | US
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Telephone | 301-309-1941
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Fax |
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Provider Business Mailing Address
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Address Line | 10903 NEW HAMPSHIRE AVE ROOM 2333
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City | SILVER SPRING
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State | MD
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Zip | 20903-1058
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Country | US
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Telephone | 301-796-1346
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | D52860
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License Number State | MD
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