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Organization
LARGO PEDIATRICS
Active
Organization
LARGO PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA GAHOL VENIDA M.D. (PRESIDENT)
(301) 350-0044
Entity
Organization
Contact information
Practice address
8700 CENTRAL AVE STE 203, LANDOVER, MD 20785-4868
(301) 350-0044
(301) 350-8007
Mailing address
PO BOX 1817, MITCHELLVILLE, MD 20717-1817
(301) 350-0044
(301) 350-8007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0027190
MD
Other
Enumeration date
08/31/2006
Last updated
09/21/2011
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