Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D0016825 | MD |
NPI | 1003169186 |
---|---|
Provider Name | Dr. Carol Schulman |
First Address | Potomac, MD 20854-1446 |
Second Address | Potomac, MD 20854-1446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2012 |
Last Update Date | 26/10/2012 |