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Organization
RIVERDALE PARK PEDIATRICS PC
Active
Organization
RIVERDALE PARK PEDIATRICS PC
Active
Parent organization
RIVERDALE PARK PEDIATRICS PC AT GLEN BURNIE
Other names
Riverdale Park Pediatrics PC, Riverdale Park Pediatrics PC at Glen Burnie
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERDALE PARK PEDIATRICS PC AT GLEN BURNIE
Authorized official
DR. EDWIN F AGUILAR LOPEZ MD (PRESIDENT)
(914) 316-7066
Entity
Organization
Contact information
Practice address
202 HOSPITAL DR, GLEN BURNIE, MD 21061-5802
(410) 768-8525
Mailing address
202 HOSPITAL DR, GLEN BURNIE, MD 21061-5802
(410) 768-8525
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
04/21/2025
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