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Blueberry Medical PA

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

NPI number1396201752
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1396201752
Entity type
Organization (NPI-2)
Legal business name
Blueberry Medical PA
Organization subpart
No
Enumeration date
Feb 11, 2019
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

400 E Pratt St Fl 8
Baltimore, MD 21202-3180

Phone 754-702-7256 · Fax 844-204-0781

Mailing address

2672 Bayshore Pkwy Ste 608
Mountain View, CA 94043-1017

Phone 407-497-9203

Other practice locations

246 Oakhurst Cir
Kissimmee, FL 34744-4752

Phone 407-497-9207

Authorized official

Lyndsey Garbi
Owner
4074979207

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