Brighton Pediatric Center Pllc

NPI #1033257506 in Brighton, Michigan

Provider Information

NPI Number: 1033257506
Entity Type: Organization
Organization Name: Brighton Pediatric Center Pllc
Primary Specialty: Pediatrics
Enumeration Date: Feb 4, 2007
Last Updated: May 31, 2012

Practice Location

Address: 8550 W GRAND RIVER AVE
Address 2: SUITE 300
City: Brighton
State: Michigan
ZIP Code: 48116-4352
Phone: (810) 220-3700

Authorized Official

Name: DR. BASHAR SHABB QALIEH, M.D.
Title: MEDICAL DIRECTOR
Phone: (810) 220-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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