Pediatric Clinic, Llc

LBN: Pediatric Clinic, Llc
Pediatric Clinic, Llc is an health care organization with primary practice located at 324 E Antietam St Suite 200, Hagerstown MD 21740-5754. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Clinic, Llc can be contacted via phone (301) 733-2890, or through Nganga, Jackson Maina via phone (301) 733-2890.

Contact Information

Primary practice address
324 E Antietam St Suite 200 Hagerstown MD 21740-5754
Fax: (301) 733-2917
Website:
Authorized official contact:
Name: Nganga, Jackson Maina Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1861785412
LBN Legal business name Pediatric Clinic, Llc
DBA Doing business as
Authorized official Nganga, Jackson Maina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2011
Last updated May 16th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers