Dr Aglae Economides, MD | |
6000 Executive Blvd, Suite 625, Rockville, MD 20852-3803 | |
(240) 314-7080 | |
Not Available |
Full Name | Dr Aglae Economides |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 6000 Executive Blvd, Rockville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023002235 | NPI | - | NPPES |
3194209 | Medicaid | TN | |
376751500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 10794 (Tennessee) | Primary |
Entity Name | Community Clinic, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222 |
Mailing Address | Practice Location Address |
---|---|
Dr Aglae Economides, MD 3100 Wyman Park Dr, Ste 200, Baltimore, MD 21211-2803 Ph: (410) 338-3500 | Dr Aglae Economides, MD 6000 Executive Blvd, Suite 625, Rockville, MD 20852-3803 Ph: (240) 314-7080 |
Stacy B Stryer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Research Blvd, Suite 370, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471 | |
Dr. Faith E. Frankel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1684 E Gude Dr, Rockville, MD 20850 Phone: 301-217-9222 | |
Avril M Houston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5600 Fishers Lane, Rockville, MD 20857 Phone: 301-443-0842 | |
Mesfin Woldesenbet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9901 Medical Center Dr, Rockville, MD 20850 Phone: 240-826-7392 Fax: 240-826-5388 | |
Dr. Stanley J Kramer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 East Jefferson Street, Rockville, MD 20852 Phone: 301-816-6425 Fax: 301-816-7115 | |
Paul Sergio Porras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 Research Blvd, Suite 115, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471 |