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Organization

PEDIATRIX MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS GLASER (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization

Contact information

Practice address
101 HOSPITAL CENTER BLVD, STAFFORD, VA 22554-6200
(540) 741-9000
Mailing address
PO BOX 100445, ATLANTA, GA 30384-0445

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
231H00000X
Audiologist

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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