LONGJUVE PC NPI 1336965458

NPI Information

  • NPI: 1336965458
  • Provider Name: LONGJUVE PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 11350 MCCORMICK RD STE 101
    HUNT VALLEY, MD
    ZIP 21031
  • Phone: (410) 299-6809

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NPI Details

LONGJUVE PC is a medical specialty clinic center in Hunt Valley, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LONGJUVE PC NPI is 1336965458. The provider is registered as an organization entity type.

The provider's business location address is:

11350 MCCORMICK RD STE 101
HUNT VALLEY, MD
ZIP 21031-002
Phone: (410) 299-6809

The provider's authorized official is Fermin Beretta .
The authorized official title is Medical Director and has the following contact phone number (443) 465-4289.

The enumeration date for this NPI number is 11/25/2024 and was last updated on 11/25/2024.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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