Montgomery Internal Medicine Assoc., P.A.

LBN: Montgomery Internal Medicine Assoc., P.A.
Montgomery Internal Medicine Assoc., P.A. is an health care organization with primary practice located at 2901 Olney Sandy Spring Rd , Olney MD 20832-1521. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. Montgomery Internal Medicine Assoc., P.A. can be contacted via phone (301) 774-6655, or through Maltz, Jonathan via phone (301) 774-6655.

Contact Information

Primary practice address
2901 Olney Sandy Spring Rd Olney MD 20832-1521
Phone: (301) 774-6655
Fax: (301) 774-5652
Website:
Map and Directions
Authorized official contact:
Name: Maltz, Jonathan Doctor of Medicine (MD)
Phone: (301) 774-6655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1083645220
LBN Legal business name Montgomery Internal Medicine Assoc., P.A.
DBA Doing business as
Authorized official Maltz, Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 7th, 2010 - about 14 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 1083645220 NPPES
Maryland MEDICAID 9112715

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