Provider Demographics
NPI:1811006547
Name:WELLMAN, ABBY (MD)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:WELLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:ZLOTNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6280 MONTROSE RD
Mailing Address - Street 2:ABBY WELLMAN MD
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-384-8784
Mailing Address - Fax:301-770-6540
Practice Address - Street 1:6280 MONTROSE RD
Practice Address - Street 2:ABBY WELLMAN MD
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852
Practice Address - Country:US
Practice Address - Phone:301-384-8784
Practice Address - Fax:301-770-6540
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00380122084P0800X
DCMD164632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDWE729073Medicare ID - Type Unspecified
MDF31854Medicare UPIN