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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
1208000000XPediatrics Physician
2207Q00000XFamily Medicine Physician
3133V00000XRegistered Dietitian
4374J00000XDoula
5101YM0800XMental Health Counselor
6207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1538827324
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 : 914-919-9200
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 : 218-875-6731
Authorized Official
Title or Position : PRESIDENT
Name : ISABELLE VON KOHORN
Credential : MD, PHD
Telephone Number : 203-535-9982
Provider Enumeration Date : 11/30/2021
Last Update Date : 06/04/2026

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1154254696 — POMELO PC
Practice Location Address:
4701 SANGAMORE RD STE N100
BETHESDA, MD
20816-2558
Practice Phone: 914-919-9200
Practice Fax:
1063438927 — DR. ISABELLE VON KOHORN MD, PHD
Practice Location Address:
4701 SANGAMORE RD STE N100
BETHESDA, MD
20816-2558
Practice Phone: 914-919-9200
Practice Fax:
1558381228 — EBONY S TATE CNM
Practice Location Address:
4701 SANGAMORE RD STE N100
BETHESDA, MD
20816-2558
Practice Phone: 914-919-9200
Practice Fax:
1235285842 — DR. SARA ELIZABETH MAZZONI MD
Practice Location Address:
4701 SANGAMORE RD STE N100
BETHESDA, MD
20816-2558
Practice Phone: 914-919-9200
Practice Fax:
1740493709 — MS. LAURI P COX APRN, FNP-BC
Practice Location Address:
4701 SANGAMORE RD STE N100
BETHESDA, MD
20816-2558
Practice Phone: 914-919-9200
Practice Fax: 833-913-2393

Directions to “POMELO PC ” Practice Location

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