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Contact Information

PEDIATRICS 21, LLC
670 N RIVER ST
STE 270
PLAINS, PA18705
 Phone: 570-270-2525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRICS 21 LLC · (Female)

NPI # 1194134304
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2014
Last updated 08/13/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD065674L
  • PA Medicaid 1708262
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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