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Organization

PRIMARY PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMEKA BABB (ADMINISTRATOR)
(301) 776-8000
Entity
Organization

Contact information

Practice address
9811 MALLARD DR STE 102, LAUREL, MD 20708-3180
(301) 776-8000
(301) 776-8052
Mailing address
9811 MALLARD DR STE 102, LAUREL, MD 20708-3180
(301) 776-8000
(301) 776-8052

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
910111000
MD
Enumeration date
07/02/2006
Last updated
11/06/2025
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