MEDICARE: ABOVE & BEYOND PEDIATRICS

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
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1316701204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE & BEYOND PEDIATRICS

Provider Business Mailing Address
First Line	:	12070 OLD LINE CTR STE 212
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-2567
Country	:	US
Telephone Number	:	301-710-0455
Fax Number	:	301-710-9406

Provider Business Practice Location Address
First Line	:	8700 CENTRAL AVE STE 203
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4868
Country	:	US
Telephone Number	:	301-710-0455
Fax Number	:	301-710-9406

Authorized Official
Title or Position	:	OWNER
Name	:	TUERE HUGHES-KAPENZI
Credential	:	MD, MBA
Telephone Number	:	301-818-3799

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/12/2024

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Directions to “ABOVE & BEYOND PEDIATRICS ” Practice Location

Language	Start Address	Practice Location

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