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FAIRFAX NEONATAL ASSOCIATES P.C. NPI 1699863308


NPI Information

NPI: 1699863308
Provider Name: FAIRFAX NEONATAL ASSOCIATES, P.C.

Doing Business As: PEDIATRIC INFECTIOUS DISEASE GROUP

Classification: Pediatrics - 2080P0008X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

Address:
2730-C PROSPERITY AVENUE
FAIRFAX, VA
ZIP 22031
Phone: (703) 226-2280
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FAIRFAX NEONATAL ASSOCIATES, P.C. is a neurodevelopmental disabilities pediatrics in Fairfax, VA. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. FAIRFAX NEONATAL ASSOCIATES, P.C. NPI is 1699863308. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Infectious Disease Group.

The provider's business location address is:

2730-C PROSPERITY AVENUE
FAIRFAX, VA
ZIP 22031
Phone: (703) 226-2280
Fax: (703) 752-1713

The provider's authorized official is Daniel Edward Keim .
The authorized official title is Physician and has the following contact phone number (703) 226-2280.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0008XPediatricsNeurodevelopmental Disabilities0101033509VIRGINIAYes

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: 4/28/2024

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