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NPI Code Detail

MEDICARE: PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC

MEDICARE: PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VM0101XMaternal & Fetal Medicine Physician

General Provider Information

NPI Number : 1235096389
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Provider Business Mailing Address
First Line : 1301 CONCORD TER
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2843
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 JOSEPH SIEWICK DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-1709
Country : US
Telephone Number : 703-391-3600
Fax Number :
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : NICHOLAS E GLASER
Credential :
Telephone Number : 800-243-3839
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/12/2026

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Directions to “PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC ” Practice Location

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