Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1508172339 |
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| LBN Legal business name | PEDIATRIC EXPRESS CARE LTD. | ||||
| Authorized official | JENNIFER WEINBERG - (PEDIATRICIAN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/31/2010 | ||||
| Last updated | 08/31/2010 - About 16 years ago | ||||
| Identifiers |
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