Organization
PEDIATRIC PARTNERS OF SOUTHERN MARYLAND, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JOHNSON (OFFICE MANAGER)
(301) 868-3474
Entity
Organization
Contact information
Practice address
9135 PISCATAWAY RD, SUITE 240, CLINTON, MD 20735-2549
(301) 868-3474
(301) 868-4316
Mailing address
9135 PISCATAWAY RD, SUITE 240, CLINTON, MD 20735-2549
(301) 868-3474
(301) 868-4316
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/29/2005
Last updated
08/22/2020
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