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Protest Atud
NPI 1841171287 · on the registry since 2025
Practice
- Address
- 130 Perth Amboy Ct
Upper Marlboro, MD 20774 - Phone
- (202) 525-9195
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland