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NPI Code Detail

MEDICARE: POMELO PC

MEDICARE: POMELO PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2133V00000XRegistered Dietitian
3207Q00000XFamily Medicine Physician
4208000000XPediatrics Physician
5374J00000XDoula
6207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1154254696
Entity Type Code : Organization
Provider Name (Legal Business Name) : POMELO PC
Provider Business Mailing Address
First Line : 4701 SANGAMORE RD STE N100
Second Line :
City : BETHESDA
State : MD
Zip : 20816-2558
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4701 SANGAMORE RD STE N100
Second Line :
City : BETHESDA
State : MD
Zip : 20816-2558
Country : US
Telephone Number : 914-919-9200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ISABELLE VON KOHORN
Credential :
Telephone Number : 914-919-9200
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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1063438927 — DR. ISABELLE VON KOHORN MD, PHD
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Practice Fax:
1558381228 — EBONY S TATE CNM
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1235285842 — DR. SARA ELIZABETH MAZZONI MD
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20816-2558
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1740493709 — MS. LAURI P COX APRN, FNP-BC
Practice Location Address:
4701 SANGAMORE RD STE N100
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20816-2558
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Practice Fax: 833-913-2393

Directions to “POMELO PC ” Practice Location

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