PRIVIA MEDICAL GROUP LLC NPI 1710749387

NPI Information

NPI: 1710749387
Provider Name: PRIVIA MEDICAL GROUP, LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1161 OMEGA DR STE 100
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 393-2600
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PRIVIA MEDICAL GROUP, LLC is an adolescent medicine pediatrics in Hagerstown, MD. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PRIVIA MEDICAL GROUP, LLC NPI is 1710749387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1161 OMEGA DR STE 100
HAGERSTOWN, MD
ZIP 21740-574
Phone: (301) 393-2600

The provider's authorized official is Maria Gabbai .
The authorized official title is Enrollment Manager and has the following contact phone number (484) 569-9066.

The enumeration date for this NPI number is 1/29/2024 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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