Provider Demographics
NPI:1174840201
Name:ANGLIN, TRINA MENDEN (MD)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:MENDEN
Last Name:ANGLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5600 FISHERS LN
Mailing Address - Street 2:ROOM 18A-39
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1750
Mailing Address - Country:US
Mailing Address - Phone:301-443-4291
Mailing Address - Fax:301-443-1296
Practice Address - Street 1:5600 FISHERS LN
Practice Address - Street 2:ROOM 18A-39
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1750
Practice Address - Country:US
Practice Address - Phone:301-443-4291
Practice Address - Fax:301-443-1296
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
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Provider Licenses
StateLicense IDTaxonomies
MDD00552372080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine