Provider Demographics
NPI:1467025379
Name:PEDS WORLD ASSOCIATES CORP
Entity Type:Organization
Organization Name:PEDS WORLD ASSOCIATES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DORA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:RIOJA-MAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-378-4100
Mailing Address - Street 1:3449 WILKENS AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5218
Mailing Address - Country:US
Mailing Address - Phone:410-646-1200
Mailing Address - Fax:410-646-1211
Practice Address - Street 1:3449 WILKENS AVE STE 308
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5218
Practice Address - Country:US
Practice Address - Phone:410-646-1200
Practice Address - Fax:410-646-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty