| Dr. Brainsole, Pllc | |
|
7600 Carroll Ave Takoma Park MD 20912-6367 | |
| (301) 891-5908 | |
| Not Available |
| Full Name | Dr. Brainsole, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 7600 Carroll Ave, Takoma Park, Maryland |
| Authorized Official Name and Position | Alison J Garten (PHYSICIAN) |
| Authorized Official Contact | 6175296551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Brainsole, Pllc 4600 Connecticut Ave Nw Apt 315 Washington DC 20008-5703 Ph: (617) 529-6551 | Dr. Brainsole, Pllc 7600 Carroll Ave Takoma Park MD 20912-6367 Ph: (301) 891-5908 |
| NPI Number | 1548672736 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 05/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548672736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01439 (Maryland) | Primary |
| 261Q00000X | Clinic/center | PO1000044 (District Of Columbia) | Secondary |
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