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DEJ MED PRACTICE LLC NPI 1851515902


NPI Information

NPI: 1851515902
Provider Name: DEJ MED PRACTICE, LLC

Doing Business As: PARTNERS IN PEDIATRICS AND FAMILY HEALTH

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D0220757

Address:
303 MEMORIAL BLVD W
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 791-7060
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DEJ MED PRACTICE, LLC 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. DEJ MED PRACTICE, LLC NPI is 1851515902. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Partners In Pediatrics And Family Health.

The provider's business location address is:

303 MEMORIAL BLVD W
HAGERSTOWN, MD
ZIP 21740-219
Phone: (301) 791-7060
Fax: (301) 791-8990

The provider's authorized official is Chukuemeka Obidi .
The authorized official title is President and has the following contact phone number (301) 791-7060.

The CLIA number assigned to this NPI record is 21D0220757 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 11/17/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2208000000XPediatricsYes

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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