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Organization
MERIDIAN PEDIATRICS LLC
Active
Organization
MERIDIAN PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE A BERGSTEIN MD (OWNER)
(317) 844-5351
Entity
Organization
Contact information
Practice address
12065 OLD MERIDIAN ST STE 100, CARMEL, IN 46032-8774
(317) 844-5351
(317) 805-0380
Mailing address
12065 OLD MERIDIAN ST STE 100, CARMEL, IN 46032-8774
(317) 844-5351
(317) 805-0380
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275738106
NPI
IN
01
—
1295703056
NPI
IN
01
—
1366475824
NPI
IN
01
—
1609983196
NPI
IN
01
—
1659413094
NPI
IN
01
—
1952492373
NPI
IN
01
—
1972678852
NPI
IN
Enumeration date
04/27/2022
Last updated
04/27/2022
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