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Organization
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Active
Organization
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE OLLER BURR (DIRECTOR OF PROFESSIONAL FEES)
(410) 706-5181
Entity
Organization
Contact information
Practice address
1302 BELLONA AVE, LUTHERVILLE, MD 21093-5425
(667) 214-2200
(410) 296-3120
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
NULL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
Other
Enumeration date
12/03/2024
Last updated
01/24/2025
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