Advanced Pediatrics Pllc

NPI #1962686865 in Vienna, Virginia

Provider Information

NPI Number: 1962686865
Entity Type: Organization
Organization Name: Advanced Pediatrics Pllc
Primary Specialty: Pediatrics
Enumeration Date: Dec 27, 2007
Last Updated: Dec 27, 2007

Practice Location

Address: 100 EAST ST SE
Address 2: SUITE 301
City: Vienna
State: Virginia
ZIP Code: 22180-4800
Phone: (703) 938-5555

Authorized Official

Name: MS. LISA M JACKSON
Title: OFFICE MANAGER
Phone: (703) 938-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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