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Organization
PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Active
Organization
PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GLASER (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
11400 ROCKVILLE PIKE STE C25, ROCKVILLE, MD 20852-3063
(301) 761-4760
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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