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

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

Physician's Profile

Full Name	Vilma Fondevilla Tadalan-velasco
Gender	Female
Speciality	Pediatrics
Location	80 Kirks Mill Ln, North East, Maryland
Accepts Medicare Assignments	Does 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.

Identifier	Type	State	Issuer
1194055871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	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 Address	Practice 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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Vilma Fondevilla Tadalan-velasco, MD - Pediatrics in North East, MD