Provider Demographics
NPI:1871573303
Name:TATE, MAUREEN LEONARD (MD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:LEONARD
Last Name:TATE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:214 DEEP TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7753
Mailing Address - Country:US
Mailing Address - Phone:301-340-6839
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4921
Practice Address - Fax:301-319-5110
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD048338L2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine