Organization
POTOMAC PEDIATRICS, P.C.
Active
Organization
POTOMAC PEDIATRICS, P.C.
Active
Parent organization
POTOMAC PEDIATRICS, P.C.
Other names
Potomac Pediatrics, Suite 11
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC PEDIATRICS, P.C.
Authorized official
CARON GLASSMAN M.D. (PRESIDENT)
(301) 279-6750
Entity
Organization
Contact information
Practice address
15204 OMEGA DR, ROCKVILLE, MD 20850-4601
(301) 279-6750
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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