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OPAL COURT PEDIATRICS P.A. NPI 1649235888


NPI Information

NPI: 1649235888
Provider Name: OPAL COURT PEDIATRICS, P.A.

Other Name: DRS WEISS & BECKER PA

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D0689552

Address:
1141 OPAL COURT
SUITE A
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 791-6666
Get Directions

OPAL COURT PEDIATRICS, P.A. is a pediatrics in Hagerstown, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OPAL COURT PEDIATRICS, P.A. NPI is 1649235888. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Drs Weiss & Becker Pa.

The provider's business location address is:

1141 OPAL COURT
SUITE A
HAGERSTOWN, MD
ZIP 21740-976
Phone: (301) 791-6666
Fax: (301) 791-4549

The provider's authorized official is Atchuthanand Budi .
The authorized official title is President and has the following contact phone number (301) 791-6666.

The CLIA number assigned to this NPI record is 21D0689552 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 11/10/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes
22080A0000XPediatricsAdolescent MedicineNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1757481900MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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