Organization
ELLICOTT CITY PEDIATRIC ASSOC
Active
Other names
Dr. Leffler Cahill & Berger PA.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVER CUSTODIO GALITA MD (OWNDER)
(410) 465-7550
Entity
Organization
Contact information
Practice address
9011 CHEVROLET DRIVE, SUITE 1-6, ELLICOTT CITY, MD 21042-4024
(410) 465-7550
(410) 465-7085
Mailing address
9011 CHEVROLET DRIVE, SUITE 1-6, ELLICOTT CITY, MD 21042-4024
(410) 465-7550
(410) 465-7085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
967551500
—
MD
Enumeration date
04/11/2006
Last updated
10/27/2022
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