Organization
BRIGHTON PEDIATRIC CENTER PLLC
Active
Other names
Brighton Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR SHABB QALIEH M.D. (MEDICAL DIRECTOR)
(810) 220-3700
Entity
Organization
Contact information
Practice address
8550 W GRAND RIVER AVE, SUITE 300, BRIGHTON, MI 48116-4352
(810) 220-3700
(810) 220-1321
Mailing address
8550 W GRAND RIVER AVE, SUITE 300, BRIGHTON, MI 48116-4352
(810) 220-3700
(810) 220-1321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/04/2007
Last updated
05/31/2012
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