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Organization
MAZIQUE PEDIATRICS, P.C.
Active
Organization
MAZIQUE PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA GASKILLNARINE (CHIEF OPERATING OFFICER)
(301) 333-8900
Entity
Organization
Contact information
Practice address
10416 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1390
(301) 333-8900
(301) 333-8826
Mailing address
10416 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1390
(301) 333-8900
(301) 333-8826
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D38503
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064981300
—
MD
Enumeration date
02/07/2007
Last updated
10/20/2011
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