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NPI Code Detail

MEDICARE: ROSEMARIE T GREYSON-FLEG MD

MEDICARE: ROSEMARIE T GREYSON-FLEG 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
12085R0202XDiagnostic Radiology PhysicianD0029761MD

General Provider Information

NPI Number : 1538355789
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARIE T GREYSON-FLEG MD
Provider Business Mailing Address
First Line : 9811 MALLARD DR STE 102
Second Line :
City : LAUREL
State : MD
Zip : 20708-3180
Country : US
Telephone Number : 301-776-4777
Fax Number :
Provider Business Practice Location Address
First Line : 9811 MALLARD DR STE 102
Second Line :
City : LAUREL
State : MD
Zip : 20708-3180
Country : US
Telephone Number : 301-776-4777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2007
Last Update Date : 09/21/2007

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