Children's Multispecialty Clinic, Plc

NPI #1700217684 in Herndon, Virginia

Provider Information

NPI Number: 1700217684
Entity Type: Organization
Organization Name: Children's Multispecialty Clinic, Plc
Primary Specialty: Specialist
Enumeration Date: Dec 3, 2013
Last Updated: Mar 31, 2014

Practice Location

Address: 171 ELDEN STREET, STE. 2C4
City: Herndon
State: Virginia
ZIP Code: 20170
Phone: (571) 612-2606

Authorized Official

Name: HASAN I. ABDALLAH., M.D.
Title: MEDICAL DIRECTOR
Phone: (703) 481-5801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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