NPI 1548671241

Daniel Jaller, M.D., PC

Organisation Health Maintenance Organization Rockville, MD

Practice location

Address: 15245 Shady Grove Rd Suite 315, Rockville, MD 20850-3222
Phone: (301) 528-7111
Fax: (301) 528-5824

Authorised official

Name: Daniel a Jaller
Title: President
Phone: (301) 528-7111

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence D0033138 (MD)

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Registry record

NPI: 1548671241
Entity type: Organization
NPI issued: 15 May 2014
Record last updated: 15 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.