Organization
MARYLAND PEDIATRIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY B CAVALIER (OFFICE MANAGER)
(410) 427-1600
Entity
Organization
Contact information
Practice address
10807 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4591
(410) 321-9393
Mailing address
10807 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4591
(410) 321-9393
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
06/21/2018
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