Organization
THE PEDIATRIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO BURJA (OFFICE MANAGER)
(443) 451-1614
Entity
Organization
Contact information
Practice address
5900 WATERLOO RD STE 110, COLUMBIA, MD 21045-2636
(443) 451-1600
(443) 451-1600
Mailing address
5900 WATERLOO RD STE 110, COLUMBIA, MD 21045-2636
(443) 451-1600
(443) 451-1600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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