Organization
PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
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
(804) 253-0408
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409735141
—
MD
Enumeration date
07/26/2006
Last updated
11/12/2024
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