Pediatric Associates of Prince William County, LLC

NPI #1053592204 in Manassas, Virginia

Provider Information

NPI Number: 1053592204
Entity Type: Organization
Organization Name: Pediatric Associates of Prince William County, LLC
Primary Specialty: Pediatrics
Enumeration Date: Nov 15, 2007
Last Updated: Nov 15, 2007

Practice Location

Address: 9001 DIGGES RD
Address 2: SUITE 107
City: Manassas
State: Virginia
ZIP Code: 20110-4421
Phone: (703) 368-9131

Authorized Official

Name: ADONIA JOHNSON
Title: DIRECTOR
Phone: (703) 368-9131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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