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Organization
FEDERAL HILL PEDIATRIC CENTER
Active
Organization
FEDERAL HILL PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH ELI LEBLANC MD (MEDICAL DIRECTOR)
(304) 813-8332
Entity
Organization
Contact information
Practice address
724 LIGHT ST STE A, BALTIMORE, MD 21230-3813
(304) 813-8332
Mailing address
724 LIGHT ST STE A, BALTIMORE, MD 21230-3813
(304) 813-8332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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