Provider Demographics
NPI:1912155334
Name:MENUCCI, MARIA BELEN (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:BELEN
Last Name:MENUCCI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8807 COLESVILLE RD
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4346
Mailing Address - Country:US
Mailing Address - Phone:855-362-1858
Mailing Address - Fax:
Practice Address - Street 1:8807 COLESVILLE RD
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4346
Practice Address - Country:US
Practice Address - Phone:855-362-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP23413207R00000X
MDD0072609207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine