Alliance Pediatrics | |
220 Main St 2nd Floor Gaithersburg MD 20878-5471 | |
(240) 252-4105 | |
Not Available |
Full Name | Alliance Pediatrics |
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Speciality | Psychologist - Cognitive & Behavioral |
Location | 220 Main St, Gaithersburg, Maryland |
Authorized Official Name and Position | Joy Kolb (DIRECTOR) |
Authorized Official Contact | 2402524105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alliance Pediatrics 220 Main Street 2nd Floor Gaithersburg MD 20878 Ph: (240) 252-4105 | Alliance Pediatrics 220 Main St 2nd Floor Gaithersburg MD 20878-5471 Ph: (240) 252-4105 |
NPI Number | 1639457880 |
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Provider Enumeration Date | 07/21/2011 |
Last Update Date | 07/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639457880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | 04764 (Maryland) | Primary |
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