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PEDIATRIC PARTNERS LLC NPI 1912043936


NPI Information

NPI: 1912043936
Provider Name: PEDIATRIC PARTNERS LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 21D0908209

Address:
8600 LASALLE RD
POTOMAC BUILDING SUITE 105
BALTIMORE, MD
ZIP 21286
Phone: (410) 823-5232
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PEDIATRIC PARTNERS LLC is an adolescent medicine pediatrics in Baltimore, 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 PARTNERS LLC NPI is 1912043936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8600 LASALLE RD
POTOMAC BUILDING SUITE 105
BALTIMORE, MD
ZIP 21286-001
Phone: (410) 823-5232
Fax: (410) 296-0257

The provider's authorized official is Stephen R Feldman .
The authorized official title is PRESIDENT PEDIATRICIANPediatrician and has the following contact phone number (410) 638-0537.

The CLIA number assigned to this NPI record is 21D0908209 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/22/2020.


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
12080A0000XPediatricsAdolescent MedicineD0028122MARYLANDYes

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: 4/28/2024

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