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Contact Information

PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
75 THOMAS JOHNSON DR STE G
FREDERICK, MD21702-4895
 Phone: 240-529-1663
 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

NPI Number 1871340109
LBN Legal business name PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Authorized official NICHOLAS GLASER - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2024
Last updated 11/04/2024 - More than a year ago
Identifiers
MD Medicaid 409735102
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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