Provider Demographics
NPI:1144527904
Name:MARYLAND RHEUMATOLOGY
Entity type:Organization
Organization Name:MARYLAND RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTERJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-389-4030
Mailing Address - Street 1:2911 OLNEY SANDY SPRING RD
Mailing Address - Street 2:STE C
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1530
Mailing Address - Country:US
Mailing Address - Phone:240-389-4030
Mailing Address - Fax:240-398-3808
Practice Address - Street 1:2911 OLNEY SANDY SPRING RD
Practice Address - Street 2:STE C
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1530
Practice Address - Country:US
Practice Address - Phone:240-389-4030
Practice Address - Fax:240-398-3808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0065061207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty