Montague Blundon, Iii, Md, Pa

LBN: Montague Blundon, Iii, Md, Pa
Montague Blundon, Iii, Md, Pa is an health care organization with primary practice located at 5640 Shields Dr Wyngate Medical Park, Bethesda MD 20817-3573. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Montague Blundon, Iii, Md, Pa can be contacted via phone (307) 897-5505, or through Blundon, Montague via phone (301) 897-5505.

Contact Information

Primary practice address
5640 Shields Dr Wyngate Medical Park Bethesda MD 20817-3573
Fax: (301) 897-0887
Website:
Authorized official contact:
Name: Blundon, Montague Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0025637 Maryland

Profile Details

NPI number 1114223617
LBN Legal business name Montague Blundon, Iii, Md, Pa
DBA Doing business as
Authorized official Blundon, Montague Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2011
Last updated Feb 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114223617 NPPES
Maryland MEDICAID 266081400

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