Pediatric Partners of Northern Virginia

NPI #1811168081 in Fairfax, Virginia

Provider Information

NPI Number
1811168081
Entity Type
Organization
Organization Name
Pediatric Partners of Northern Virginia
Primary Specialty
Pediatrics
Enumeration Date
Mar 17, 2008
Last Updated
Mar 17, 2008

Practice Location

Address
4211 FAIRFAX CORNER EAST AVE
Address 2
SUITE 225
ZIP Code
22030-8622
Phone
(703) 502-4500

Authorized Official

Name
DR. MAUREEN BANTA, M.D.
Title
OWNER
Phone
(703) 502-4500

Specialties & Taxonomy Codes

Specialty
Pediatrics

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