Organization
HORIZON PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE UNDINE SMITH MD (OWNER/ PEDIATRICIAN)
(301) 236-9540
Entity
Organization
Contact information
Practice address
2415 MUSGROVE RD STE 308, SILVER SPRING, MD 20904-5223
(301) 236-9540
(301) 236-9540
Mailing address
2415 MUSGROVE RD STE 308, SILVER SPRING, MD 20904-5223
(301) 236-9540
(301) 236-9578
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0064412
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4108507P0001
—
MD
Enumeration date
09/15/2017
Last updated
09/15/2017
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