Organization · NPI-2
Advanced Neighborhood Pediatrics
Clinic/Center · Silver Spring, MD
NPI number1174954705
StatusActive
Last updated in NPPESDec 2, 2024
Details
- NPI
- 1174954705
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Neighborhood Pediatrics
- Organization subpart
- No
- Enumeration date
- Dec 8, 2013
- Certification date
- Dec 2, 2024
- Last updated
- Dec 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | D0063251 | MD | |
| 261QM2500X | Clinic/Center, Medical Specialty | md33750 | DC | |
| 261QP2300X | Clinic/Center, Primary Care | D0063251 | MD | |
| 261QP2300X | Clinic/Center, Primary Care | MD33750 | DC |
Practice location
8607 2nd Ave Ste 505aSilver Spring, MD 20910-3355
Phone 240-641-8160 · Fax 240-331-0073
Mailing address
12239 Cypress Spring RdSuite 010
Clarksburg, MD 20871-4415
Phone 240-374-8616 · Fax 240-780-7159
Other practice locations
12239 Cypress Spring Rd
Clarksburg, MD 20871-4415
Clarksburg, MD 20871-4415
Phone 240-780-7159 · Fax 240-780-7159
23212 Ridge Rd
Germantown, MD 20876-4552
Germantown, MD 20876-4552
Phone 240-641-8160 · Fax 240-331-0073
Authorized official
Onyinye C Onyekwere
Medical Director
2406418160
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