Individual
DR. VANESSA M MAYOL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11325 SEVEN LOCKS RD, SUITE 238, POTOMAC, MD 20854-3205
(301) 299-8930
(301) 299-8933
Mailing address
11325 SEVEN LOCKS RD, SUITE 238, POTOMAC, MD 20854-3205
(301) 299-8930
(301) 299-8933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0039864
MD
208000000X
Pediatrics Physician
MD18719
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200760
UNITED HEALTHCARE
—
01
—
819691
MAMSI
—
01
—
C043-0005
CAREFIRST
—
Enumeration date
07/02/2005
Last updated
07/08/2007
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