Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1205193455 |
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| LBN Legal business name | PEDIATRIC EMERGENCY MEDICINE DEPARTMENT | ||||
| Authorized official | ANN KLASNER - (DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/12/2012 | ||||
| Last updated | 04/12/2012 - About 14 years ago | ||||
| Identifiers |
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