PEDIATRIC TLC INC NPI 1225573413

NPI Information

PEDIATRIC TLC, INC is an adolescent medicine pediatrics in Hagerstown, MD. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC TLC, INC NPI is 1225573413. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

334 MILL ST
HAGERSTOWN, MD
ZIP 21740-138
Phone: (301) 393-9170
Fax: (301) 393-9173

The provider's authorized official is Mohammad Tariq .
The authorized official title is President and has the following contact phone number (301) 331-7882.

The CLIA number assigned to this NPI record is 21D2005801 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2016 and was last updated on 12/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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