Provider Demographics
NPI:1487602785
Name:MOND, JAMES
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:MOND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 NORTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4535
Mailing Address - Country:US
Mailing Address - Phone:301-987-1160
Mailing Address - Fax:
Practice Address - Street 1:9119 GAITHER RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1457
Practice Address - Country:US
Practice Address - Phone:301-987-1160
Practice Address - Fax:301-330-5868
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDOO23647171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider