# PICASSOMD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659100469
- **Authorized official:** SAMUEL VON POLLARO (COCEO)
- **Authorized official phone:** (703) 244-7923

## Contact information

- **Practice address:** 8701 BELLWOOD RD, BETHESDA, MD 20817-3032
- **Practice address phone:** (202) 494-2266
- **Mailing address:** 5237 RIVER RD \# 359, BETHESDA, MD 20816-1415
- **Mailing address phone:** (703) 244-7923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2024
- **Last updated:** 07/30/2024