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Organization
PG COMMUNITYPEDIATRIC AND ADOLESCENT HEALTH CENTER INC.
Active
Organization
PG COMMUNITYPEDIATRIC AND ADOLESCENT HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MODUPE F ODUNUGA MD (PRESIDENT)
(301) 322-2411
Entity
Organization
Contact information
Practice address
6122 LANDOVER RD, CHEVERLY, MD 20785-1016
(301) 322-2411
Mailing address
8420 VICTORY LN, POTOMAC, MD 20854-3562
(301) 980-6417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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