Organization
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE OLLER BURR (DIRECTOR OF PROFESSIONAL FEES)
(410) 706-5181
Entity
Organization
Contact information
Practice address
1302 BELLONA AVE, LUTHERVILLE, MD 21093-5425
(667) 214-2200
(410) 296-3120
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
208000000X
Pediatrics Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
04/17/2026
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