MEDICARE: MRS. SARAH BETH MCDONALD RD, LDN

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	133V00000X	Registered Dietitian	DX2536	MD

General Provider Information

NPI Number	:	1093998783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH BETH MCDONALD RD, LDN

Provider Business Mailing Address
First Line	:	7580 BUCKINGHAM BLVD STE 220
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-3210
Country	:	US
Telephone Number	:	410-729-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	7580 BUCKINGHAM BLVD STE 280
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-3208
Country	:	US
Telephone Number	:	410-729-3360
Fax Number	:	443-679-1389

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

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	03/25/2025

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