Mazique Pediatrics, P.c. | |
10416 Campus Way S Upper Marlboro MD 20774-1390 | |
(301) 333-8900 | |
(301) 333-8826 |
Full Name | Mazique Pediatrics, P.c. |
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Speciality | Clinic/center - Primary Care |
Location | 10416 Campus Way S, Upper Marlboro, Maryland |
Authorized Official Name and Position | Natasha Gaskillnarine (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 3013338900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mazique Pediatrics, P.c. 10416 Campus Way S Upper Marlboro MD 20774-1390 Ph: (301) 333-8900 | Mazique Pediatrics, P.c. 10416 Campus Way S Upper Marlboro MD 20774-1390 Ph: (301) 333-8900 |
NPI Number | 1730229956 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 10/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730229956 | NPI | - | NPPES |
064981300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | D38503 (Maryland) | Primary |
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