Provider Demographics
NPI:1225849078
Name:INTERNATIONAL PEDIATRICS, P A
Entity type:Organization
Organization Name:INTERNATIONAL PEDIATRICS, P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTAGENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-290-1041
Mailing Address - Street 1:501 N FREDERICK AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2545
Mailing Address - Country:US
Mailing Address - Phone:301-407-1597
Mailing Address - Fax:240-290-1045
Practice Address - Street 1:501 N FREDERICK AVE STE 212
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2545
Practice Address - Country:US
Practice Address - Phone:301-407-1597
Practice Address - Fax:240-290-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty