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Organization

PM PEDIATRICS OF MARYLAND LLC

Active
Other names
PM Pediatrics of Maryland - Glen Burnie
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE MARIE LOPEZ (DIRECTOR CREDENTIALING/ENROLLMENT)
(516) 207-7936
Entity
Organization

Contact information

Practice address
6622B RITCHIE HWY, GLEN BURNIE, MD 21061-2317
(443) 912-5437
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 207-7936

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
06/17/2025
Last updated
06/17/2025
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