| NPI | 1629495528 |
|---|---|
| Doing Business As | MAIN STREET PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MARY WRIGHT-SISK Director 410-521-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-03-16 |