Organization
PEDIATRIC CARE GROUP, P.C.
Active
Other names
Pediatric Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYLEE MUNDELL D.O. (MANAGING PHYSICIAN)
(215) 885-8700
Entity
Organization
Contact information
Practice address
261 OLD YORK ROAD, SUITE 620, JENKINTOWN, PA 19046
(215) 885-8700
(215) 885-8795
Mailing address
261 OLD YORK ROAD, SUITE 620, JENKINTOWN, PA 19046
(215) 885-8700
(215) 885-8795
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013372830001
—
PA
01
—
1497162
BLUE SHIELD
PA
Enumeration date
03/15/2006
Last updated
06/18/2014
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