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Organization
PEDIATRIC CARE OF ROCKVILLE PA
Active
Organization
PEDIATRIC CARE OF ROCKVILLE PA
Active
Other names
Pediatric Care of Rockville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JONES (ADMINISTRATOR)
(301) 881-7995
Entity
Organization
Contact information
Practice address
1201 SEVEN LOCKS RD STE 201, ROCKVILLE, MD 20854-2963
(301) 881-7995
(301) 881-8451
Mailing address
1201 SEVEN LOCKS RD STE 201, ROCKVILLE, MD 20854-2963
(301) 881-7995
(301) 881-8451
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147151100
—
MD
05
—
147151101
—
MD
Enumeration date
02/12/2019
Last updated
04/09/2021
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