Provider Demographics
NPI:1285869743
Name:ESTAMPADOR-ULEP, NERITA (MD)
Entity type:Individual
Prefix:DR
First Name:NERITA
Middle Name:
Last Name:ESTAMPADOR-ULEP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 PICCARD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4359
Mailing Address - Country:US
Mailing Address - Phone:240-777-4438
Mailing Address - Fax:240-777-1650
Practice Address - Street 1:1335 PICCARD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4359
Practice Address - Country:US
Practice Address - Phone:240-777-4439
Practice Address - Fax:240-777-1650
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014932208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics