Boulevard Center Pediatrics

NPI #1568706158 in Dumfries, Virginia

Provider Information

NPI Number: 1568706158
Entity Type: Organization
Organization Name: Boulevard Center Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Nov 20, 2012
Last Updated: Feb 20, 2019

Practice Location

Address: 3733 FETTLER PARK DR.
City: Dumfries
State: Virginia
ZIP Code: 22025
Phone: (703) 670-0300

Authorized Official

Name: ANITA GOHEL
Title: PRACTICE MANAGER
Phone: (703) 670-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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