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Organization
PEDIATRIX MEDICAL GROUP OF PENNSYLVANIA, P.C.
Active
Organization
PEDIATRIX MEDICAL GROUP OF PENNSYLVANIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E. GLASER (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3127
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(844) 686-2961
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015543080001
—
PA
05
—
0015543080006
—
PA
Enumeration date
09/17/2006
Last updated
05/02/2025
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