FAIRFAX NEONATAL ASSOCIATES PC NPI 1700088242

NPI Information

FAIRFAX NEONATAL ASSOCIATES, PC is a pediatric surgery surgery in Fairfax, VA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. FAIRFAX NEONATAL ASSOCIATES, PC NPI is 1700088242. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Surgical Group.

The provider's business location address is:

2730 PROSPERITY AVE
STE C
FAIRFAX, VA
ZIP 22031-329
Phone: (703) 560-2236

The provider's authorized official is Carolyn Halterman .
The authorized official title is Project Manager and has the following contact phone number (703) 289-1448.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 5/18/2016.

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:

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