Organization
POTOMAC PEDIATRICS, P.C.
Active
Parent organization
POTOMAC PEDIATRICS, P.C.
Other names
Potomac Pediatrics, Suite 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC PEDIATRICS, P.C.
Authorized official
CARON GLASSMAN M.D. (PRESIDENT)
(301) 279-6750
Entity
Organization
Contact information
Practice address
15204 OMEGA DR, ROCKVILLE, MD 20850-4601
(301) 279-6750
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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