Organization
INTERNATIONAL PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M ORTEGA M.D. (ASSOCIATE)
(240) 290-1041
Entity
Organization
Contact information
Practice address
501 NORTH FREDRICK AVE STE 212, GAITHERSBURG, MD 20877
(301) 407-1701
(301) 407-1597
Mailing address
10901 CONNECTICUT AVE STE 100, KENSINGTON, MD 20895-1645
(240) 290-1041
(240) 290-1045
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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