Organization
KIDWORX PEDIATRIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA MAHONEY MD (OWNER)
(215) 830-8870
Entity
Organization
Contact information
Practice address
3 VILLAGE RD STE 100, HORSHAM, PA 19044-3812
(215) 830-8870
Mailing address
3 VILLAGE RD STE 100, HORSHAM, PA 19044-3812
(215) 830-8870
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD063137L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017043070004
—
PA
Enumeration date
10/11/2012
Last updated
10/11/2012
Update your record
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