Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY JO CANNON, MD
Active Sole ProprietorDR. MARY JO CANNON, MD is a Addiction Medicine (Family Practice) healthcare provider located in GAITHERSBURG, Maryland. NPI 1619216835 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · GAITHERSBURG, MD
Registration Details
- NPI Number
- 1619216835
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2013 (13.547806276316 yrs)
- Last Updated
- Dec 11, 2023
- License
-
D28907 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8945 N WESTLAND DRGAITHERSBURG, MD, 208771249Browse MD providers · Browse ZIP 20877
- Phone
- 3013300006
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.