Healthcare Provider Details
I. General information
NPI: 1649196817
Provider Name (Legal Business Name): WHITE OAK PEDIATRICS, DRS. BATTIATA & IMPEDUGLIA, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11161 NEW HAMPSHIRE AVE STE 301
SILVER SPRING MD
20904-2606
US
IV. Provider business mailing address
11161 NEW HAMPSHIRE AVE STE 301
SILVER SPRING MD
20904-2606
US
V. Phone/Fax
- Phone: 301-681-7101
- Fax:
- Phone: 301-681-7101
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0205X |
| Taxonomy | Pediatric Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
LEE
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: MD
Phone: 301-681-7101