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Individual

PETRA VACLAVKOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
2001 MEDICAL PARKWAY, ANNAPOLIS, MD 21401
(443) 481-1000
Mailing address
PO BOX 64262, BALTIMORE, MD 21264-4262
(443) 481-6550
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D70524
MD

Other

Enumeration date
06/05/2007
Last updated
06/30/2010
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