MEDICARE: KEREN MULLER

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	D0085091	MD

General Provider Information

NPI Number	:	1730573676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEREN MULLER

Provider Business Mailing Address
First Line	:	12850 MIDDLEBROOK RD STE 200
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-5244
Country	:	US
Telephone Number	:	301-540-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	12850 MIDDLEBROOK RD STE 200
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-5244
Country	:	US
Telephone Number	:	301-540-5900
Fax Number	:

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

Provider Enumeration Date	:	03/27/2015
Last Update Date	:	03/19/2019

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Directions to “ KEREN MULLER ” Practice Location

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