Eastern Shore Pediatrics

NPI 1063713295 - Pediatrics - 208000000X

NPI Details
NPI 1063713295
Enumeration Date 11/04/2010
Last Updated 11/25/2014
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EPHREM EPHREM
Position OWNER/PRESIDENT
Phone (410) 219-9111
Fax (410) 219-2633
Practice Location
211 MARYLAND AVE
SALISBURY MD, 21801-5805, US
Phone (410) 219-9111
Fax (410) 219-2633
Business Location
211 MARYLAND AVE
SALISBURY MD, 21801-5805, US
Phone (410) 219-9111
Fax (410) 219-2633
Toxanomy
Taxonomy Code 208000000X
License State Maryland
License Number D50140
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According to our database, Eastern Shore Pediatrics NPI is 1063713295, taxonomy code is 208000000X and license number is D50140, license state is located at Maryland. Eastern Shore Pediatrics physically located at 211 Maryland Ave, Salisbury MD, 21801-5805. NPI Number 1033115704 has the healthcare provider type.

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1063713295 NPI number is provided on an as is basis without warranty of any kind. 1063713295 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Shore Pediatrics are for informational purposes only.