Healthcare Provider Details

I. General information

NPI: 1497757488
Provider Name (Legal Business Name): ARNYCE ROSE POCK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 W PERIMETER RD
JB ANDREWS MD
20762-6602
US

IV. Provider business mailing address

4301 JONES BRIDGE RD RM D 3013-C
BETHESDA MD
20814-4712
US

V. Phone/Fax

Practice location:
  • Phone: 240-612-2476
  • Fax:
Mailing address:
  • Phone: 301-295-9945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036-073907
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: