Organization
THE PEDIATRIC CENTER OF FREDERICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER M VANPELT (FRONT OFFICE COORDINATOR)
(301) 631-8053
Entity
Organization
Contact information
Practice address
1475 TANEY AVE, STE 201, FREDERICK, MD 21702-4747
(301) 631-8053
(301) 695-8604
Mailing address
1475 TANEY AVE, STE 201, FREDERICK, MD 21702-4747
(301) 631-8053
(301) 695-8604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218841400
—
MD
Enumeration date
03/21/2007
Last updated
03/21/2014
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