Provider Demographics
NPI:1326169624
Name:BOX HILL PEDIATRICS
Entity Type:Organization
Organization Name:BOX HILL PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LITWAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-569-7337
Mailing Address - Street 1:39 KENSINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1851
Mailing Address - Country:US
Mailing Address - Phone:410-569-7337
Mailing Address - Fax:410-569-7347
Practice Address - Street 1:39 KENSINGTON PKWY
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1851
Practice Address - Country:US
Practice Address - Phone:410-569-7337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty