Casa Pediatrics

NPI #1033519855 in Woodbridge, Virginia

Provider Information

NPI Number: 1033519855
Entity Type: Organization
Organization Name: Casa Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Aug 28, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 14130 NOBLEWOOD PLZ
Address 2: SUITE 306
City: Woodbridge
State: Virginia
ZIP Code: 22193-1464
Phone: (703) 485-0470

Authorized Official

Name: DR. MARTHA LISSETT CASAMALHUAPA CALDERON, M.D.
Title: CEO / MEDICAL DIRECTOR
Phone: (703) 485-0470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Pediatric Cardiology — Pediatric Cardiology	2080P0202X
Pediatrics	208000000X	Primary

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