# PRIMARY PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIVIA MEDICAL GROUP, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588551402
- **Legal business name:** PRIVIA MEDICAL GROUP, LLC
- **Authorized official:** VALORIE ANLAGE M.D. (PRESIDENT)
- **Authorized official phone:** (301) 776-8000

## Contact information

- **Practice address:** 17341 MELFORD BLVD, SUITE M, BOWIE, MD 20715
- **Practice address phone:** (301) 464-2300
- **Practice address fax:** (301) 464-9604
- **Mailing address:** 9811 MALLARD DRIVE, SUITE \#102, LAUREL, MD 20708
- **Mailing address phone:** (301) 776-8000
- **Mailing address fax:** (301) 776-8052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2025
- **Last updated:** 11/14/2025