Organization
PEDIATRIC CARE OF ROCKVILLE PA
Active
Other names
Pediatric Care of Rockville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JONES (ADMINISTRATOR)
(301) 881-7995
Entity
Organization
Contact information
Practice address
1201 SEVEN LOCKS RD STE 201, ROCKVILLE, MD 20854-2963
(301) 881-7995
(301) 881-8451
Mailing address
1201 SEVEN LOCKS RD STE 201, ROCKVILLE, MD 20854-2963
(301) 881-7995
(301) 881-8451
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147151100
—
MD
05
—
147151101
—
MD
Enumeration date
02/12/2019
Last updated
04/09/2021
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