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21D2189854 CLIA NUMBER - SCOTT D WISSMAN MD MPH PC DBA WONDER YEARS PEDIAT

Laboratory Demographics

CLIA Number: 21D2189854

Facility Name: SCOTT D WISSMAN MD MPH PC DBA WONDER YEARS PEDIAT

Facility Address:
9601 BLACKWELL RD SUITE 300
ROCKVILLE, MD
ZIP 20850
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Facility Phone Number: 301 563-9333

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1326013087

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 21D2189854
LAB Type Physician Office
Facility Name SCOTT D WISSMAN MD MPH PC DBA WONDER YEARS PEDIAT
Street 9601 BLACKWELL RD SUITE 300
City ROCKVILLE
State MD
ZIP 20850
Phone 301 563-9333
CertificateType 4
CertificateEffectiveDate 8/6/2022
CertificateExpirationDate 8/5/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024