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Organization

EMPOWER PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COLLEEN M WALLACE MCKAY MD (MEDICAL DIRECTOR)
(504) 284-8837
Entity
Organization

Contact information

Practice address
14113 BALTIMORE AVE STE B, LAUREL, MD 20707-5073
(240) 360-5723
(443) 558-7796
Mailing address
14113 BALTIMORE AVE STE B, LAUREL, MD 20707-5073
(240) 360-5723
(443) 558-7796

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
03/15/2023
Last updated
01/15/2025
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