Princess Anne Pediatrics

NPI #1851559504 in Norfolk, Virginia

Provider Information

NPI Number: 1851559504
Entity Type: Organization
Organization Name: Princess Anne Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: May 29, 2008
Last Updated: May 29, 2008

Practice Location

Address: 5040 E PRINCESS ANNE RD STE A
City: Norfolk
State: Virginia
ZIP Code: 23502-1733
Phone: (757) 853-3838

Authorized Official

Name: DR. OMAR A BLANCO, M.D.
Title: SOLE PROPRIETOR/PEDIATRICIAN
Phone: (757) 853-3838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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