Individual
DR. MARIO O BELLEDONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 TUCKERMAN LN, POTOMAC, MD 20854-3744
(301) 605-7878
(301) 605-7878
Mailing address
8200 TUCKERMAN LN, POTOMAC, MD 20854-3744
(301) 605-7878
(301) 605-7878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D23177
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D23177
MD
207RN0300X
Nephrology Physician
D0023177
MD
207RN0300X
Nephrology Physician
Primary
D23177
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3233311100
—
MD
01
—
379065
MAMSI, PPO
MD
01
—
6009-001
CARE FIRST BLUE CHOICE
MD
01
—
83742
UNITED HEALTH
MD
01
—
879065
ALLIANCE PPO
MD
Enumeration date
08/08/2006
Last updated
06/29/2021
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