| Meadowridge Pediatrics, Llc | |
|
6020 Meadowridge Center Dr Ste P1 Elkridge MD 21075-6528 | |
| (443) 936-8821 | |
| Not Available |
| Full Name | Meadowridge Pediatrics, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 6020 Meadowridge Center Dr Ste P1, Elkridge, Maryland |
| Authorized Official Name and Position | Celine Chang (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 4434929466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadowridge Pediatrics, Llc 6020 Meadowridge Center Dr Ste P1 Elkridge MD 21075-6528 Ph: (443) 492-9466 | Meadowridge Pediatrics, Llc 6020 Meadowridge Center Dr Ste P1 Elkridge MD 21075-6528 Ph: (443) 936-8821 |
| NPI Number | 1568109189 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568109189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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