Organization
LIBERTY PEDIATRICS AND FAMILY MEDICINE LLC
Active
Other names
Liberty Pediatrics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D. HICKEY M.D. (OWNER)
(443) 340-3560
Entity
Organization
Contact information
Practice address
5963 EXCHANGE DR, SUITE 100, SYKESVILLE, MD 21784-9256
(410) 549-0900
(410) 549-6121
Mailing address
5963 EXCHANGE DR, SUITE 100, SYKESVILLE, MD 21784-9256
(410) 549-0900
(410) 549-6121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2977028
—
MD
05
—
523506500
—
MD
Enumeration date
03/27/2006
Last updated
04/23/2025
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