Organization
PEDS IN A POD PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L. EADIE D.O. (OWNER)
(443) 421-6966
Entity
Organization
Contact information
Practice address
1105 N POINT BLVD, SUITE 306, BALTIMORE, MD 21224-3419
(410) 285-5437
(410) 285-7333
Mailing address
PO BOX 15444, BALTIMORE, MD 21220-0444
(410) 285-5437
(410) 285-7333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H0061035
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMT7SL
CAREFIRST
MD
01
—
X026 0001
CAREFIRST
DC
Enumeration date
07/30/2010
Last updated
11/05/2014
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