Organization
PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NDIDI AGHOLOR (OWNER)
(301) 434-8800
Entity
Organization
Contact information
Practice address
7505 NEW HAMPSHIRE AVE STE 302, TAKOMA PARK, MD 20912-6972
(301) 434-8800
Mailing address
7505 NEW HAMPSHIRE AVE STE 302, TAKOMA PARK, MD 20912-6972
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D61511
MD
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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