Organization
PEDS IN A POD PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L. EADIE D.O. (OWNER)
(410) 687-1355
Entity
Organization
Contact information
Practice address
1105 N POINT BLVD, SUITE 306, BALTIMORE, MD 21224-3419
(410) 285-5437
(410) 285-7333
Mailing address
PO BOX 15444, BALTIMORE, MD 21220-0444
(410) 285-5437
(410) 285-7333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
423141400
MEDICAL ASSISTANCE DME
MD
Enumeration date
06/13/2013
Last updated
12/05/2014
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