Organization
CHILDREN'S PEDIATRICIANS & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASIMA HOSSAIN MHA, FACHE (EXECUTIVE DIRECTOR)
(202) 476-3114
Entity
Organization
Contact information
Practice address
3450 OLD WASHINGTON RD, SUITE 100, WALDORF, MD 20602-3248
(301) 645-0300
(301) 645-4009
Mailing address
3450 OLD WASHINGTON RD, SUITE 100, WALDORF, MD 20602-3248
(301) 645-0300
(301) 645-4009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0023561
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25800802
—
MD
Enumeration date
04/12/2013
Last updated
04/12/2013
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