Organization
BRIGHT OAKS PEDIATRIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN WUNDERER (PRACTICE ADMINISTRATOR)
(410) 569-3300
Entity
Organization
Contact information
Practice address
2111 LAUREL BUSH RD STE H, BEL AIR, MD 21015-6156
(410) 569-3300
(410) 515-2027
Mailing address
2111 LAUREL BUSH RD STE H, BEL AIR, MD 21015-6156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0045592
MD
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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