MEDICARE: MARYLAND RHEUMATOLOGY

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	207RR0500X	Rheumatology Physician	D0065061	MD

General Provider Information

NPI Number	:	1144527904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARYLAND RHEUMATOLOGY

Provider Business Mailing Address
First Line	:	2911 OLNEY SANDY SPRING RD
Second Line	:	STE C
City	:	OLNEY
State	:	MD
Zip	:	20832-1530
Country	:	US
Telephone Number	:	240-389-4030
Fax Number	:	240-398-3808

Provider Business Practice Location Address
First Line	:	2911 OLNEY SANDY SPRING RD
Second Line	:	STE C
City	:	OLNEY
State	:	MD
Zip	:	20832-1530
Country	:	US
Telephone Number	:	240-389-4030
Fax Number	:	240-398-3808

Authorized Official
Title or Position	:	MD
Name	:	MELANIE CHATTERJI
Credential	:
Telephone Number	:	240-389-4030

Provider Enumeration Date	:	02/14/2011
Last Update Date	:	02/14/2011

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Directions to “MARYLAND RHEUMATOLOGY ” Practice Location

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