Provider Demographics
NPI:1104145168
Name:CUTTS, CAROL MEGAN (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MEGAN
Last Name:CUTTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:MEGAN
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9106 BELMART RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1601
Mailing Address - Country:US
Mailing Address - Phone:301-299-3326
Mailing Address - Fax:301-299-3326
Practice Address - Street 1:9106 BELMART RD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-1601
Practice Address - Country:US
Practice Address - Phone:301-299-3326
Practice Address - Fax:301-299-3326
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0005724208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics