Organization
PEDIATRICS 21, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZRA M SEHIC M.D. (OWNER,PHYSICIAN)
(570) 270-2525
Entity
Organization
Contact information
Practice address
670 N RIVER ST, STE 270, PLAINS, PA 18705
(570) 270-2525
Mailing address
670 N RIVER ST STE 270, PLAINS, PA 18705-1027
(570) 270-2525
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD065674L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708262
—
PA
Enumeration date
08/13/2014
Last updated
08/13/2014
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