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POTOMAC PEDIATRICS P.C. NPI 1053663088


NPI Information

NPI: 1053663088
Provider Name: POTOMAC PEDIATRICS, P.C.

Other Name: POTOMAC PEDIATRICS, SUITE 12

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
15204 OMEGA DR
ROCKVILLE, MD
ZIP 20850
Phone: (301) 279-6750
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POTOMAC PEDIATRICS, P.C. is a non pharmacy dispensing site in Rockville, MD. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) POTOMAC PEDIATRICS, P.C. NPI is 1053663088. The provider is registered as an organization entity type.
The provider Other Name Is Potomac Pediatrics, Suite 12.

The provider's business location address is:

15204 OMEGA DR
ROCKVILLE, MD
ZIP 20850-601
Phone: (301) 279-6750

The provider's authorized official is Caron Glassman .
The authorized official title is President and has the following contact phone number (301) 279-6750.

The enumeration date for this NPI number is 10/15/2012 and was last updated on 10/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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