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Organization
LIBERTY PEDIATRICS AND FAMILY MEDICINE LLC
Active
Organization
LIBERTY PEDIATRICS AND FAMILY MEDICINE LLC
Active
Other names
Liberty Pediatrics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D. HICKEY M.D. (OWNER)
(443) 340-3560
Entity
Organization
Contact information
Practice address
5963 EXCHANGE DR, SUITE 100, SYKESVILLE, MD 21784-9256
(410) 549-0900
(410) 549-6121
Mailing address
5963 EXCHANGE DR, SUITE 100, SYKESVILLE, MD 21784-9256
(410) 549-0900
(410) 549-6121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2977028
—
MD
05
—
523506500
—
MD
Enumeration date
03/27/2006
Last updated
04/23/2025
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