Montgomery Otolaryngology Consultants

NPI #1073507117 in Gaithersburg, Maryland

Provider Information

NPI Number: 1073507117
Entity Type: Organization
Organization Name: Montgomery Otolaryngology Consultants
Primary Specialty: Otolaryngology
Enumeration Date: Sep 6, 2005
Last Updated: Aug 6, 2010

Practice Location

Address: 19211 MONTGOMERY VILLAGE AVE
Address 2: #B-23
City: Gaithersburg
State: Maryland
ZIP Code: 20886-5028
Phone: (301) 963-6334

Authorized Official

Name: LINDSAY IRA GOLDEN, MD
Title: ENT PHYSICIAN
Phone: (301) 963-6334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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