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PEDIATRIC PARTNERS OF NORTHERN VIRGINIA NPI 1811168081


NPI Information

NPI: 1811168081
Provider Name: PEDIATRIC PARTNERS OF NORTHERN VIRGINIA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D0702900

Address:
4211 FAIRFAX CORNER EAST AVE
SUITE 225
FAIRFAX, VA
ZIP 22030
Phone: (703) 502-4500
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PEDIATRIC PARTNERS OF NORTHERN VIRGINIA 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. PEDIATRIC PARTNERS OF NORTHERN VIRGINIA NPI is 1811168081. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4211 FAIRFAX CORNER EAST AVE
SUITE 225
FAIRFAX, VA
ZIP 22030-622
Phone: (703) 502-4500
Fax: (703) 502-4518

The provider's authorized official is Maureen Banta .
The authorized official title is Owner and has the following contact phone number (703) 502-4500.

The CLIA number assigned to this NPI record is 49D0702900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.


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
1208000000XPediatricsYes

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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