Provider Demographics
NPI:1093529869
Name:CHILDRENS PEDIATRICIANS & ASSOC
Entity type:Organization
Organization Name:CHILDRENS PEDIATRICIANS & ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:JANOWIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-572-1382
Mailing Address - Street 1:PO BOX 744787
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4787
Mailing Address - Country:US
Mailing Address - Phone:301-754-3060
Mailing Address - Fax:301-681-0789
Practice Address - Street 1:2021 K STREET NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006
Practice Address - Country:US
Practice Address - Phone:202-833-4543
Practice Address - Fax:202-833-8977
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDRENS PEDIATRICIANS & ASSOC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty