Organization
HEALTH CARE FOR CHILDREN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNES LOPEZ DALIVA M.D. (PHYSICIAN)
(410) 398-8899
Entity
Organization
Contact information
Practice address
215 NORTH ST STE A, ELKTON, MD 21921-5505
(410) 398-8899
(410) 398-1477
Mailing address
PO BOX 309, ELKTON, MD 21922-0309
(410) 398-8899
(410) 398-1477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274CHE
CAREFIRST GROUP NUMBER
MD
05
—
409020900
—
MD
Enumeration date
05/25/2006
Last updated
02/29/2024
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