Provider Demographics
NPI:1841498425
Name:ROBERTS, MARY DUNNE (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:DUNNE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:198 HALPINE RD APT 1234
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-7612
Mailing Address - Country:US
Mailing Address - Phone:240-221-3057
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:BLDG CRC ROOM 1-3330 MSOC 1103
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-594-1176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC 233102080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology