| The Village Pediatric & Wellness Center | |
|
50 W Edmonston Dr Ste 502 Rockville MD 20852-1222 | |
| (301) 637-3005 | |
| (866) 890-7221 |
| Full Name | The Village Pediatric & Wellness Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 50 W Edmonston Dr Ste 502, Rockville, Maryland |
| Authorized Official Name and Position | Monica Del Carmen Pourrat (DOCTOR) |
| Authorized Official Contact | 3016373005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Pediatric & Wellness Center 50 W Edmonston Dr Ste 502 Rockville MD 20852-1222 Ph: (301) 637-3005 | The Village Pediatric & Wellness Center 50 W Edmonston Dr Ste 502 Rockville MD 20852-1222 Ph: (301) 637-3005 |
| NPI Number | 1174949358 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174949358 | NPI | - | NPPES |
| 10234246 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0062518 (Maryland) | Primary |
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