| NPI | 1053663088 |
|---|---|
| Other Name | POTOMAC PEDIATRICS, SUITE 12 |
| Entity Type | Organization |
| Authorized Contact | CARON GLASSMAN President 301-279-6750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |