Organization
PM PEDIATRICS OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE LOPEZ (MANAGER CREDENTIALING/ENROLLMENT)
(516) 207-7936
Entity
Organization
Contact information
Practice address
7401 GREENBELT RD, GREENBELT, MD 20770-3402
(516) 869-0650
Mailing address
1 HOLLOW LN, NEW HYDE PARK, NY 11042-1220
(516) 869-0650
(516) 673-9408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
01/21/2025
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