Provider Demographics
NPI:1982664835
Name:HEALTHY STARTS PEDIATRICS
Entity Type:Organization
Organization Name:HEALTHY STARTS PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MIROSLAW
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDYASZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-652-7616
Mailing Address - Street 1:845 SIR THOMAS COURT
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-4843
Mailing Address - Country:US
Mailing Address - Phone:717-652-7616
Mailing Address - Fax:717-909-3204
Practice Address - Street 1:845 SIR THOMAS COURT
Practice Address - Street 2:SUITE 7
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-4843
Practice Address - Country:US
Practice Address - Phone:717-652-7616
Practice Address - Fax:717-909-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty