Healthcare Provider Details

I. General information

NPI: 1629906508
Provider Name (Legal Business Name): WILLOUGHBY PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 JOHNNYCAKE RD STE 206
BALTIMORE MD
21244-2420
US

IV. Provider business mailing address

7001 JOHNNYCAKE RD STE 206
BALTIMORE MD
21244-2420
US

V. Phone/Fax

Practice location:
  • Phone: 410-804-3919
  • Fax:
Mailing address:
  • Phone: 410-804-3919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NAJLA ABDUR-RAHMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 410-804-3919