Organization
FREDERICK PEDIATRIC ASSOCIATES P.A.
Active
Other names
Frederick Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHA NATHAN M.D. (PRESIDENT)
(301) 694-0606
Entity
Organization
Contact information
Practice address
87 THOMAS JOHNSON DR, SUITE 101, FREDERICK, MD 21702-4301
(301) 694-0606
(301) 662-6928
Mailing address
87 THOMAS JOHNSON DR, SUITE 101, FREDERICK, MD 21702-4301
(301) 694-0606
(301) 662-6928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082691000
—
MH
Enumeration date
12/28/2005
Last updated
07/21/2022
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