# GEORGINA R. MIJARES MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366240830
- **Authorized official:** DR. GEORGINA RAMOS MIJARES MD (PEDIATRICIAN)
- **Authorized official phone:** (410) 437-8894

## Contact information

- **Practice address:** 8094 EDWIN RAYNOR BLVD STE B, PASADENA, MD 21122-6834
- **Practice address phone:** (410) 437-8894
- **Practice address fax:** (410) 437-6003
- **Mailing address:** 8094 EDWIN RAYNOR BLVD STE B, PASADENA, MD 21122-6834
- **Mailing address phone:** (410) 437-8894
- **Mailing address fax:** (410) 437-6003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2025
- **Last updated:** 03/03/2025