Organization
PEDIATRIX OF MARYLAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E. GLASER (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(240) 826-6000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(888) 627-4702
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1D445000100
—
MD
05
—
445000105
—
MD
Enumeration date
09/17/2006
Last updated
11/04/2024
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