MEDICARE: MILESTONE PEDIATRICS, PA

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	D0003634	MD

General Provider Information

NPI Number	:	1962692830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILESTONE PEDIATRICS, PA

Provider Business Mailing Address
First Line	:	20400 OBSERVATION DR
Second Line	:	SUITE 205
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-4085
Country	:	US
Telephone Number	:	301-972-9559
Fax Number	:	301-972-9593

Provider Business Practice Location Address
First Line	:	20400 OBSERVATION DR
Second Line	:	SUITE 205
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-4085
Country	:	US
Telephone Number	:	301-972-9559
Fax Number	:	301-972-9593

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GARY BRECHER
Credential	:	M.D.
Telephone Number	:	301-972-9559

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	07/27/2007

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Directions to “MILESTONE PEDIATRICS, PA ” Practice Location

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