Provider Demographics
NPI:1497564009
Name:WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA
Entity type:Organization
Organization Name:WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GIOVANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:IMPEDUGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-681-7101
Mailing Address - Street 1:11161 NEW HAMPSHIRE AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2606
Mailing Address - Country:US
Mailing Address - Phone:301-681-7101
Mailing Address - Fax:855-885-1472
Practice Address - Street 1:18310 MONTGOMERY VILLAGE AVE STE 460
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3565
Practice Address - Country:US
Practice Address - Phone:301-977-4100
Practice Address - Fax:855-885-1472
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty