MEDICARE: MARTHA MARIA QUEZADO MD

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	207ZP0101X	Anatomic Pathology Physician	MD600005622	DC

General Provider Information

NPI Number	:	1508334368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA MARIA QUEZADO MD

Provider Business Mailing Address
First Line	:	6608 GREYSWOOD RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1537
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 ROCKVILLE PIKE RM 2S235
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20892-0001
Country	:	US
Telephone Number	:
Fax Number	:

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

Provider Enumeration Date	:	11/08/2018
Last Update Date	:	05/21/2026

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