Pediatric Associates of Charlottesville
NPI #1528178787 in Charlottesville, Virginia
Provider Information
- NPI Number
- 1528178787
- Entity Type
- Organization
- Organization Name
- Pediatric Associates of Charlottesville
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Nov 1, 2013
Practice Location
- Address
- 1011 E JEFFERSON ST
- City
- Charlottesville
- State
- Virginia
- ZIP Code
- 22902-5354
- Phone
- (434) 296-9161
Authorized Official
- Name
- MR. PAUL WISMAN JR.
- Title
- PHYSICIAN
- Phone
- (434) 296-9161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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