Vilma Fondevilla Tadalan-Velasco, M.D.

NPI #1194055871 in North East, Maryland

Provider Information

NPI Number: 1194055871
Entity Type: Individual
Name: Vilma Fondevilla Tadalan-Velasco, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jan 3, 2010
Last Updated: Jan 3, 2010

Practice Location

Address: 80 KIRKS MILL LN
City: North East
State: Maryland
ZIP Code: 21901-1712
Phone: (702) 430-8881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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