Organization
INTERNATIONAL PEDIATRICS, P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO R ORTEGA M.D. (PHYSICIAN)
(240) 290-1041
Entity
Organization
Contact information
Practice address
10901 CONNECTICUT AVE, SUITE 100, KENSINGTON, MD 20895-1645
(240) 290-1041
(240) 290-1045
Mailing address
10901 CONNECTICUT AVE, SUITE 100, KENSINGTON, MD 20895-1645
(240) 290-1041
(240) 290-1045
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420120500
—
MD
Enumeration date
03/16/2007
Last updated
02/23/2016
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