Pediatricare of Northern Virginia, P.c.

NPI #1104994623 in Manassas, Virginia

Provider Information

NPI Number: 1104994623
Entity Type: Organization
Organization Name: Pediatricare of Northern Virginia, P.c.
Primary Specialty: Pediatrics
Enumeration Date: Dec 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8640 SUDLEY RD
Address 2: SUITE 306
City: Manassas
State: Virginia
ZIP Code: 20110-4420
Phone: (703) 330-3939

Authorized Official

Name: FRANK JAMES GIANCOLA, MD
Title: PRESIDENT
Phone: (703) 330-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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