MIDDLEBROOK PEDIATRICS LLC NPI 1285098137

NPI Information

NPI: 1285098137
Provider Name: MIDDLEBROOK PEDIATRICS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D2033466

Address:
18528 OFFICE PARK DR
MONTGOMERY VILLAGE, MD
ZIP 20886
Phone: (301) 330-4130
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MIDDLEBROOK PEDIATRICS LLC is a primary care clinic center in Montgomery Village, MD. MIDDLEBROOK PEDIATRICS LLC NPI is 1285098137. The provider is registered as an organization entity type.

The provider's business location address is:

18528 OFFICE PARK DR
MONTGOMERY VILLAGE, MD
ZIP 20886-586
Phone: (301) 330-4130
Fax: (301) 330-4150

The provider's authorized official is Veronica Omenka .
The authorized official title is Physician and has the following contact phone number (301) 330-4130.

The CLIA number assigned to this NPI record is 21D2033466 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2016 and was last updated on 4/7/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	D0065257	MARYLAND	Yes

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: 5/5/2024

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