| Liberty Pediatrics, Llc | |
|
1030 Liberty Rd Suite 100 Eldersburg MD 21784-7941 | |
| (410) 549-0900 | |
| (410) 549-6121 |
| Full Name | Liberty Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1030 Liberty Rd, Eldersburg, Maryland |
| Authorized Official Name and Position | Thomas D. Hickey (OWNER) |
| Authorized Official Contact | 4105490900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Pediatrics, Llc 1030 Liberty Rd Suite 100 Eldersburg MD 21784-7941 Ph: (410) 549-0900 | Liberty Pediatrics, Llc 1030 Liberty Rd Suite 100 Eldersburg MD 21784-7941 Ph: (410) 549-0900 |
| NPI Number | 1568860294 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568860294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R213300 (Maryland) | Primary |
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