Vilma Fondevilla Tadalan-velasco, MD - Pediatrics in North East, MD

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Vilma Fondevilla Tadalan-velasco, MD is a Pediatrics physician based in North East, Maryland. Vilma Fondevilla Tadalan-velasco is licensed to practice in Maryland (license number D0014635) and her current practice location is 80 Kirks Mill Ln, North East, Maryland. She can be reached at her office (for appointments etc.) via phone at (702) 430-8881.

NPI number for Vilma Fondevilla Tadalan-velasco is 1194055871 and her current mailing address is 80 Kirks Mill Ln, North East, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194055871.

Contact Information

Vilma Fondevilla Tadalan-velasco, MD
80 Kirks Mill Ln,
North East, MD 21901-1712
(702) 430-8881
Not Available

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Physician's Profile

Full NameVilma Fondevilla Tadalan-velasco
GenderFemale
SpecialityPediatrics
Location80 Kirks Mill Ln, North East, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194055871
  • Provider Enumeration Date: 01/03/2010
  • Last Update Date: 01/03/2010

Medical Identifiers

Medical identifiers for Vilma Fondevilla Tadalan-velasco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194055871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0014635 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vilma Fondevilla Tadalan-velasco is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vilma Fondevilla Tadalan-velasco, MD
80 Kirks Mill Ln,
North East, MD 21901-1712

Ph: (702) 430-8881		Vilma Fondevilla Tadalan-velasco, MD
80 Kirks Mill Ln,
North East, MD 21901-1712

Ph: (702) 430-8881

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Pediatrics Doctors in North East, MD


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