Annapolis Pediatrics PA

NPI #1154451094 in Annapolis, Maryland

Provider Information

NPI Number: 1154451094
Entity Type: Organization
Organization Name: Annapolis Pediatrics PA
Primary Specialty: Pediatrics
Enumeration Date: Mar 7, 2007
Last Updated: Jun 13, 2008

Practice Location

Address: 200 FORBES ST
Address 2: SUITE 200
City: Annapolis
State: Maryland
ZIP Code: 21401-1538
Phone: (410) 263-6363

Authorized Official

Name: DR. DWIGHT NORBERT FORTIER, MD
Title: MANAGING PARTNER
Phone: (410) 263-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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