| Montgomery Sports Medicine | |
|
800 S Frederick Ave Ste 110 Gaithersburg MD 20877-4151 | |
| (301) 754-0505 | |
| (301) 754-0509 |
| Full Name | Montgomery Sports Medicine |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 800 S Frederick Ave Ste 110, Gaithersburg, Maryland |
| Authorized Official Name and Position | Eran Kessous (OWNER) |
| Authorized Official Contact | 3017540505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Sports Medicine 11120 New Hampshire Ave Ste 411 Silver Spring MD 20904-2620 Ph: (301) 754-0505 | Montgomery Sports Medicine 800 S Frederick Ave Ste 110 Gaithersburg MD 20877-4151 Ph: (301) 754-0505 |
| NPI Number | 1922829712 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922829712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | () | Primary |
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