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Contact Information

INNOVATIVE PEDIATRICS & MEDICINE
3921 FERRARA DR
SILVER SPRING, MD20906
 Phone: 301-337-8846
 Fax: 301-946-0642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Obesity Medicine

2080B0002X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for INNOVATIVE PEDIATRICS MEDICINE · (Female)

NPI Number 1568063758
Status Active
Credentials
Entity Individual
Enumeration date 11/04/2020
Last updated 11/04/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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