Molly Thayer
Pediatrics in Silver Spring, MD. Individual provider (NPI-1).
NPI number1801367602
StatusActive
Last updated in NPPESDec 6, 2018
Details
- NPI
- 1801367602
- Entity type
- Individual (NPI-1)
- Name
- Molly Thayer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2018
- Last updated
- Dec 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 08452 | MD | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 08452 | MD |
Practice location
12520 Prosperity Dr Ste 210Silver Spring, MD 20904-1684
Phone 301-869-7505
Mailing address
931 Crofton Valley DrGambrills, MD 21054-1650
Other practice locations
2001 Medical Pkwy
Annapolis, MD 21401-3773
Annapolis, MD 21401-3773
Phone 443-481-1000
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