Organization
PEDIATRIC HEALTHCARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOLLESE BANKETT MD (PRESIDENT)
(301) 753-1918
Entity
Organization
Contact information
Practice address
404 EAST CHARLES STREET, LAPLATA, MA 20646
(301) 751-6058
(301) 392-0892
Mailing address
4815 GRANDVIEW PLACE, LAPLATA, MA 20646-2846
(301) 753-1918
(301) 392-0892
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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