BLUE MANTLE MEDICINE PLLC is a pediatrics in Fairfax, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BLUE MANTLE MEDICINE PLLC NPI is 1417658980. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4001 FAIR RIDGE DR STE 305
FAIRFAX, VA
ZIP 22033-917
Phone: (540) 701-4767
Fax: (703) 520-9880
The provider's authorized official is Sita Canady .
The authorized official title is Md and has the following contact phone number (540) 645-1856.
The CLIA number assigned to this NPI record is 49D2280070 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/13/2023 and was last updated on 3/13/2023.