| NPI | 1760006746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN Assistant Secretary 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology |
| 2086S0120X Surgery Pediatric Surgery | |
| 2088P0231X Urology Pediatric Urology | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-06-10 |