| NPI | 1861830374 |
|---|---|
| Doing Business As | MAIN STREET PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MARY WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2021-08-27 |