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Contact Information

PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
15005 SHADY GROVE RD STE 120
ROCKVILLE, MD20850-6341
 Phone: 301-284-8611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PEDIATRIX MEDICAL GROUP OF THE MID ATLANTIC PC · (Female)

NPI # 1568219129
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2024
Last updated 11/04/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 409735120
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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