Eastern Shore Pediatrics

LBN: Eastern Shore Pediatrics
Eastern Shore Pediatrics is an health care organization with primary practice located at 211 Maryland Ave , Salisbury MD 21801-5805. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Eastern Shore Pediatrics can be contacted via phone (410) 219-9111, or through Daniel, Ephrem via phone (410) 219-9111.

Contact Information

Primary practice address
211 Maryland Ave Salisbury MD 21801-5805
Phone: (410) 219-9111
Fax: (410) 219-2633
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Ephrem Doctor of Medicine (MD)
Phone: (410) 219-9111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D50140 Maryland

Profile Details

NPI number 1063713295
LBN Legal business name Eastern Shore Pediatrics
DBA Doing business as
Authorized official Daniel, Ephrem Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2010
Last updated Nov 25th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063713295 NPPES
Maryland MEDICAID 559204600
Maryland MEDICAID 055501100

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