Childrens National Specialist of Virginia LLC

NPI #1639304918 in Fairfax, Virginia

Provider Information

NPI Number: 1639304918
Entity Type: Organization
Organization Name: Childrens National Specialist of Virginia LLC
Primary Specialty: Pediatrics
Enumeration Date: May 15, 2009
Last Updated: Oct 15, 2009

Practice Location

Address: 3023 HAMAKER COURT
Address 2: SUITE 500
City: Fairfax
State: Virginia
ZIP Code: 22031
Phone: (202) 476-6284

Authorized Official

Name: MS. SUSAN PFENNIG
Title: MANAGER
Phone: (202) 476-4447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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