Mazique, Ingrid

Mazique, Ingrid is an individual health care provider with primary practice located at 8957 Edmonston Rd Suite J, Greenbelt MD 20770-1005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mazique, Ingrid can be contacted via phone (301) 313-8700.

Contact Information

Primary practice address
8957 Edmonston Rd Suite J Greenbelt MD 20770-1005
Phone: (301) 313-8700
Fax: (301) 313-8704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD17765 District of Columbia

Profile Details

NPI number 1629005251
LBN Legal business name Mazique, Ingrid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629005251 NPPES
Maryland MEDICAID 064981300

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