Provider Demographics
NPI:1861585440
Name:SCOTT, MARY L (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:L
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7831 BELLE POINT DRIVE
Mailing Address - Street 2:GREENBELT
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770
Mailing Address - Country:US
Mailing Address - Phone:301-345-6363
Mailing Address - Fax:301-390-4305
Practice Address - Street 1:7831 BELLE POINT DRIVE
Practice Address - Street 2:GREENBELT
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-345-6363
Practice Address - Fax:301-390-4305
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-09-01
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Provider Licenses
StateLicense IDTaxonomies
MDD0033735207W00000X
DCMD14667207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD009260G85Medicare PIN
MDD05827Medicare UPIN