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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROTACIO AZARCON REYES, MD

Active

PROTACIO AZARCON REYES, MD is a Pediatrics healthcare provider located in MONTGOMRY VILLAGE, Maryland. NPI 1376538751 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · MONTGOMRY VILLAGE, MD

Registration Details

NPI Number
1376538751
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2005 (20.874598044619 yrs)
Last Updated
Jul 8, 2007
License
D0004875 (MD)

Practice Information

Address
19261 MONTGOMERY VILLAGE AVE
STE G-13
MONTGOMRY VILLAGE, MD, 208865026
Browse MD providers · Browse ZIP 20886
Phone
3019774100
Fax
3019774101
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in MONTGOMRY VILLAGE, MD

Name Credential NPI
DR. MANUEL EDUARDO BRAVO M.D. 1508861808
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.