Sunrise Pediatrics PC
Pediatrics in Shillington, PA. Organization (NPI-2).
NPI number1760699136
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1760699136
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunrise Pediatrics PC
- Organization subpart
- No
- Enumeration date
- May 16, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD062035-L | PA | Yes |
Practice location
14 Philadelphia AveShillington, PA 19607-2757
Phone 610-777-7781 · Fax 610-777-1275
Mailing address
14 Philadelphia AveShillington, PA 19607-2757
Phone 610-777-7781 · Fax 610-777-1275
Authorized official
Milka Velazquez
President
6107777781
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