Stephanie Addison, M.D.
Pediatrics, Adolescent Medicine in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1881816866
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1881816866
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Addison
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2007
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | MD038714 | DC | Yes |
| 208000000X | Pediatrics | MT190203 | PA |
Practice location
655 Watkins Mill RdGaithersburg, MD 20879-3301
Phone 240-632-4300
Mailing address
655 Watkins Mill RdGaithersburg, MD 20879-3301
Phone 240-632-4300
Other practice locations
111 Michigan Ave Nw
Washington, DC 20010-2916
Washington, DC 20010-2916
Phone 202-476-5000
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