Organization
KENWOOD PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE Z. IDRISS M.D. (OWNER)
(301) 654-6303
Entity
Organization
Contact information
Practice address
5301 WESTBARD CIR, SUITE 3, BETHESDA, MD 20816-1401
(301) 654-6303
(301) 654-6304
Mailing address
5301 WESTBARD CIR, SUITE 3, BETHESDA, MD 20816-1401
(301) 654-6303
(301) 654-6304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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