Largo Pediatrics

NPI 1063523280 - Pediatrics - 208000000X

NPI Details
NPI 1063523280
Enumeration Date 08/31/2006
Last Updated 09/21/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VICTORIA GAHOL VICTORIA
Position PRESIDENT
Phone (301) 350-0044
Fax (301) 350-8007
Practice Location
8700 CENTRAL AVE STE 203
LANDOVER MD, 20785-4868, US
Phone (301) 350-0044
Fax (301) 350-8007
Business Location
PO BOX 1817
MITCHELLVILLE MD, 20717-1817, US
Phone (301) 350-0044
Fax (301) 350-8007
Toxanomy
Taxonomy Code 208000000X
License State Maryland
License Number D0027190
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According to our database, Largo Pediatrics NPI is 1063523280, taxonomy code is 208000000X and license number is D0027190, license state is located at Maryland. Largo Pediatrics physically located at 8700 Central Ave Ste 203, Landover MD, 20785-4868. NPI Number 1033115704 has the healthcare provider type.

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1063523280 NPI number is provided on an as is basis without warranty of any kind. 1063523280 is maintained by the National Plan & Provider Enumeration System. The contents of Largo Pediatrics are for informational purposes only.