Organization
UNIVERSITY OF MARYLAND PEDIATRICS ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGIE BURR (DIRECTOR OF PROFESSIONAL FEES)
(410) 706-5181
Entity
Organization
Contact information
Practice address
655 W BALTIMORE ST, BRB7-042, BALTIMORE, MD 21201-1509
(410) 706-5181
(410) 706-5103
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435128200
—
MD
Enumeration date
08/15/2006
Last updated
02/03/2017
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