Provider Demographics
NPI:1780112839
Name:MOREJON, MAGGIE (MMP)
Entity type:Individual
Prefix:MRS
First Name:MAGGIE
Middle Name:
Last Name:MOREJON
Suffix:
Gender:F
Credentials:MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CURRIER CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2922
Mailing Address - Country:US
Mailing Address - Phone:301-455-7133
Mailing Address - Fax:
Practice Address - Street 1:4300 MONTGOMERY AVE STE 102
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4413
Practice Address - Country:US
Practice Address - Phone:301-652-1005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR01233225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist