Provider Demographics
NPI:1831492479
Name:MONROE PRAY JR MD PA
Entity Type:Organization
Organization Name:MONROE PRAY JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MONROE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-320-3720
Mailing Address - Street 1:4915 EARLSTON DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1733
Mailing Address - Country:US
Mailing Address - Phone:301-320-3720
Mailing Address - Fax:301-229-7624
Practice Address - Street 1:4915 EARLSTON DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1733
Practice Address - Country:US
Practice Address - Phone:301-320-3720
Practice Address - Fax:301-229-7624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-20
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00113472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty