Organization
URBANA PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BURNS MD (PHYSICIAN OWNER)
(301) 788-9490
Entity
Organization
Contact information
Practice address
3534 URBANA PIKE STE A, FREDERICK, MD 21704-7786
(301) 788-9490
Mailing address
3534 URBANA PIKE STE A, FREDERICK, MD 21704-7786
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0061468
STATE MEDICAL LICENSE
MD
Enumeration date
02/28/2019
Last updated
02/28/2019
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