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University Of Maryland Pediatric Assoc PA

Pediatrics in Towson, MD. Organization (NPI-2).

NPI number1073432860
StatusActive
Last updated in NPPESJul 15, 2026

Details

NPI
1073432860
Entity type
Organization (NPI-2)
Legal business name
University Of Maryland Pediatric Assoc PA
Organization subpart
No
Enumeration date
Jul 14, 2026
Certification date
Jul 15, 2026
Last updated
Jul 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

1104 Kenilworth Dr
Towson, MD 21204-2101

Phone 667-214-2200 · Fax 410-296-3210

Mailing address

Po Box 62063
Baltimore, MD 21264-2063

Phone 410-706-5181 · Fax 410-706-5103

Authorized official

Margie I Burr
Director Of Revenue Management
4107065181

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