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Organization
INNOVATIVE PEDIATRICS & MEDICINE
Active
Organization
INNOVATIVE PEDIATRICS & MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIFTY AFETA MD (CLINICAN)
(301) 337-8846
Entity
Organization
Contact information
Practice address
3921 FERRARA DR, SILVER SPRING, MD 20906
(301) 337-8846
(301) 946-0642
Mailing address
3921 FERRARA DR, SILVER SPRING, MD 20906
(301) 337-8846
(301) 946-0642
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080B0002X
Pediatric Obesity Medicine Physician
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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