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Organization
SHADY GROVE PEDIATRIC ASSOCIATES
Active
Organization
SHADY GROVE PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANN PLOTSKY MD (OWNER PRESIDENT)
(301) 330-3216
Entity
Organization
Contact information
Practice address
15215 SHADY GROVE RD, SUITE 303, ROCKVILLE, MD 20850-3235
(301) 330-3216
(301) 330-0026
Mailing address
15215 SHADY GROVE ROAD, SUITE 303, ROCKVILLE, MD 20850
(301) 330-3216
(301) 330-0026
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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