Shady Grove Pediatric Associates

NPI #1962597021 in Rockville, Maryland

Provider Information

NPI Number: 1962597021
Entity Type: Organization
Organization Name: Shady Grove Pediatric Associates
Primary Specialty: Pediatrics
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 15215 SHADY GROVE RD
Address 2: SUITE 303
City: Rockville
State: Maryland
ZIP Code: 20850-3235
Phone: (301) 330-3216

Authorized Official

Name: MRS. CAROL ANN PLOTSKY, MD
Title: OWNER PRESIDENT
Phone: (301) 330-3216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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