| NPI | 1124123716 |
|---|---|
| Doing Business As | SOUTH RIVER PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | AZAM BAIG Owner President 410-956-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0020882) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-06-18 |