Organization
THE PEDIATRIC GROUP, LLP
Active
Parent organization
THE PEDIATRIC GROUP, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PEDIATRIC GROUP, LLP
Authorized official
DR. ROBERT G. GRAW JR. M.D. (PRESIDENT)
(410) 721-2273
Entity
Organization
Contact information
Practice address
2772 RUTLAND RD, DAVIDSONVILLE, MD 21035-1228
(410) 451-2116
(410) 721-2656
Mailing address
2225 DEFENSE HWY STE E, CROFTON, MD 21114-2468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729111600
—
MD
Enumeration date
07/29/2006
Last updated
06/28/2011
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