Thaddeus Demetrius Mamienski, D.O. Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Bethesda, MD
- NPI
- 1104979194
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 0102201967 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-21
- Last updated
- 2007-07-08
Practice location
8901 Wisconsin Ave, Department Of Obstetrics And Gynecology
Bethesda, MD 20889-0001
(215) 872-7216