MEDICARE: DR. AMBER GILCHRIST M.D.

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	208000000X	Pediatrics Physician	D0066676	MD

General Provider Information

NPI Number	:	1578701348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER GILCHRIST M.D.

Provider Business Mailing Address
First Line	:	6001 LANDOVER RD
Second Line	:	SUITE 5
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1143
Country	:	US
Telephone Number	:	301-772-1212
Fax Number	:	301-772-0033

Provider Business Practice Location Address
First Line	:	6001 LANDOVER RD
Second Line	:	SUITE 5
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1143
Country	:	US
Telephone Number	:	301-772-1212
Fax Number	:	301-772-0033

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

Provider Enumeration Date	:	01/31/2009
Last Update Date	:	01/31/2009

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