Individual
DR. PEDRO SARMIENTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11885 HOLLY LANE, SUITE 1, WALDORF, MD 20601
(301) 932-5299
(301) 645-9442
Mailing address
11885 HOLLY LN, SUITE 1, WALDORF, MD 20601-3181
(301) 932-5299
(301) 645-9442
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0039620
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188876-192159
BCBS VA PIN FOR PEDIATRIC AFTER HOURS
VA
01
—
1982753877
GROUP NPI FOR PEDIATRIC AFTER HOURS
MD
01
—
5228-0007
BCBS NCA PIN FOR PEDIATRIC AFTER HOURS
DC
01
—
KH18PE-52297105
BCBS MD PIN FOR PEDIATRIC AFTER HOURS
MD
Enumeration date
11/29/2005
Last updated
12/17/2014
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