Organization
PROTACIO A REYES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROTACIO A REYES MD PA (PHYSICIAN)
(301) 977-4100
Entity
Organization
Contact information
Practice address
19261 MONTGOMERY VILLAGE AVE, SUITE G15, MONTGOMERY VILLAGE, MD 20886
(301) 977-4100
(301) 977-4101
Mailing address
19261 MONTGOMERY VILLAGE AVE, SUITE G15, MONTGOMERY VILLAGE, MD 20886
(301) 977-4100
(301) 977-4101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0004875
MD
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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