RESTON PEDIATRIC ASSOCIATES LTD NPI 1477692887

NPI Information

NPI: 1477692887
Provider Name: RESTON PEDIATRIC ASSOCIATES, LTD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D0920860

Address:
6 PIDGEON HILL DR
SUITE 170,180
STERLING, VA
ZIP 20165
Phone: (703) 450-8660
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RESTON PEDIATRIC ASSOCIATES, LTD is a primary care clinic center in Sterling, VA. RESTON PEDIATRIC ASSOCIATES, LTD NPI is 1477692887. The provider is registered as an organization entity type.

The provider's business location address is:

6 PIDGEON HILL DR
SUITE 170,180
STERLING, VA
ZIP 20165-146
Phone: (703) 450-8660
Fax: (703) 404-0275

The provider's authorized official is Ruth A Mann .
The authorized official title is President and has the following contact phone number (703) 450-8660.

The CLIA number assigned to this NPI record is 49D0920860 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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