Dr Josephine Vergara, MD | |
7503 Surratts Rd, Clinton, MD 20735-3358 | |
(301) 870-7001 | |
(301) 870-6697 |
Full Name | Dr Josephine Vergara |
---|---|
Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 7503 Surratts Rd, Clinton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174524953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0034302 (Maryland) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | D34302 (Maryland) | Primary |
Entity Name | Mgmc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031118000305 |
Mailing Address | Practice Location Address |
---|---|
Dr Josephine Vergara, MD 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (301) 870-7001 | Dr Josephine Vergara, MD 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (301) 870-7001 |
Maria Milan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9015 Woodyard Rd Ste 111, Clinton, MD 20735 Phone: 301-599-0900 | |
Renu Chandra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9131 Piscataway Rd, #710, Clinton, MD 20735 Phone: 301-868-8654 Fax: 301-856-7298 | |
Patrick Jean-philippe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7501 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4288 Fax: 301-877-2695 | |
Dr. Vigila Constance Harris, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9135 Piscataway Rd, Suite 200, Clinton, MD 20735 Phone: 301-856-2210 Fax: 301-856-2212 | |
Dr. Kermit O Simrel Jr., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9015 Woodyard Rd, Suite 111, Clinton, MD 20735 Phone: 301-599-0900 Fax: 301-599-7828 | |
Dr. Shawnese Gilpin Clark, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 240-506-8967 |