| Hagerstown Pediatrics | |
|
363 S Cleveland Ave Suite 201 Hagerstown MD 21740-5747 | |
| (301) 733-9335 | |
| (301) 733-4191 |
| Full Name | Hagerstown Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 363 S Cleveland Ave, Hagerstown, Maryland |
| Authorized Official Name and Position | Shafaat Ullah Khan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3017339335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hagerstown Pediatrics 363 S Cleveland Ave Suite 201 Hagerstown MD 21740-5747 Ph: (301) 733-9335 | Hagerstown Pediatrics 363 S Cleveland Ave Suite 201 Hagerstown MD 21740-5747 Ph: (301) 733-9335 |
| NPI Number | 1912965997 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912965997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0060377 (Maryland) | Primary |
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