Healthcare Provider Details

I. General information

NPI: 1679402259
Provider Name (Legal Business Name): MEGAN ELIZABETH PAZDERSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 ELLIOTT ST
BALTIMORE MD
21224-4863
US

IV. Provider business mailing address

2929 ELLIOTT ST
BALTIMORE MD
21224-4863
US

V. Phone/Fax

Practice location:
  • Phone: 443-286-7400
  • Fax:
Mailing address:
  • Phone: 443-286-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: