Organization
PRIMARY PEDIATRICS
Active
Parent organization
PRIVIA MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIVIA MEDICAL GROUP, LLC
Authorized official
VALORIE ANLAGE M.D. (PRESIDENT)
(301) 776-8000
Entity
Organization
Contact information
Practice address
12520 PROSPERITY DRIVE, SUITE #150, SILVER SPRING, MD 20904
(301) 989-0085
(301) 989-9063
Mailing address
9811 MALLARD DRIVE, SUITE #102, LAUREL, MD 20708
(301) 776-8000
(301) 776-8052
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910111000
—
MD
Enumeration date
06/23/2025
Last updated
06/23/2025
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