Organization
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE OLLER BURR (DIRECTOR OF PROFESSIONAL FEES)
(410) 706-5181
Entity
Organization
Contact information
Practice address
5890 WATERLOO RD, COLUMBIA, MD 21045-2617
(667) 214-2100
(410) 799-9097
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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