Provider Demographics
NPI:1144739178
Name:CHILDREN FIRST PEDIATRICS
Entity Type:Organization
Organization Name:CHILDREN FIRST PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-990-0137
Mailing Address - Street 1:2301 RESEARCH BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6544
Mailing Address - Country:US
Mailing Address - Phone:301-990-0137
Mailing Address - Fax:301-990-0471
Practice Address - Street 1:2301 RESEARCH BLVD STE 115
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6544
Practice Address - Country:US
Practice Address - Phone:301-990-0137
Practice Address - Fax:301-990-0471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD179551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty