Carol L Samuels Botts MD

NPI 1881754356 - Pediatrics - 208000000X

NPI Details
NPI 1881754356
Gender Female
Enumeration Date 12/12/2006
Last Updated 11/09/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1221 MERCANTILE LN
LARGO MEDICAL CENTER
UPPER MARLBORO MD, 20774-5374, US
Phone (301) 618-5500
Fax
Business Location
2101 EAST JEFFERSON STREET
PPQA MEDICARE COMPLIANCE UNIT 6 WEST
ROCKVILLE MD, 20882-7908, US
Phone (301) 816-6660
Fax (301) 816-6308
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0101034888
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According to our database, Dr. Carol L Samuels Botts MD NPI is 1881754356, taxonomy code is 208000000X and license number is 0101034888, license state is located at Virginia. Carol L Samuels Botts MD physically located at 1221 Mercantile Ln, Upper Marlboro MD, 20774-5374. NPI Number Carol L Samuels Botts MD has the Individual type.

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1881754356 NPI number is provided on an as is basis without warranty of any kind. 1881754356 is maintained by the National Plan & Provider Enumeration System. The contents of Carol L Samuels Botts MD are for informational purposes only.