Organization
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE BURR (DIRECTOR OF PROFESSIONAL FEES)
(410) 706-5181
Entity
Organization
Contact information
Practice address
120 SOUTH PENN STREET, BALTIMORE, MD 21201
(410) 706-5181
(410) 706-5103
Mailing address
P.O. 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
—
042118900
—
MD
Enumeration date
09/01/2006
Last updated
02/07/2017
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