Provider Demographics
NPI:1356902399
Name:MID ATLANTIC PEDIATRIC PARTNERS
Entity type:Organization
Organization Name:MID ATLANTIC PEDIATRIC PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GIORGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:KULP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-230-2280
Mailing Address - Street 1:11300 ROCKVILLE PIKE STE 404
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3030
Mailing Address - Country:US
Mailing Address - Phone:301-230-2280
Mailing Address - Fax:301-230-2245
Practice Address - Street 1:11300 ROCKVILLE PIKE STE 404
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3030
Practice Address - Country:US
Practice Address - Phone:301-230-2280
Practice Address - Fax:301-230-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty