NPI | 1790321172 |
---|---|
Doing Business As | VILLAGE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | MARY R WRIGHT-SISK Director 443-422-9941 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2019-11-21 |
Last Update Date | 2021-08-31 |