Organization
CARE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX ELSABBAGH MD (OWNER)
(313) 274-6666
Entity
Organization
Contact information
Practice address
1000 N TELEGRAPH RD, DEARBORN, MI 48128-1622
(313) 274-6666
(313) 274-4466
Mailing address
1022 N TELEGRAPH RD, DEARBORN, MI 48128-1622
(313) 274-6666
(313) 274-4466
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301080518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12965
CAPE MEDICAL
MI
01
—
1427056068
PHCS
MI
01
—
151159
GREAT LAKES
MI
01
—
2409638
OHS CARE NGS PED
MI
01
—
3508206102
BCBS GROUP PIN
MI
05
—
489769110
—
MI
01
—
6U4930
CIGNA
MI
01
—
786-1
THC
MI
01
—
8206102
BCN
MI
Enumeration date
11/29/2006
Last updated
01/04/2011
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