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Pediatric Surgical Associates Of Northern Virginia
Specialist in Annandale, Virginia
NPI 1609969930

Pediatric Surgical Associates Of Northern Virginia is a Specialist based in Annandale, VA. Pediatric Surgical Associates Of Northern Virginia practices in Annandale, VA. The NPI Number for Pediatric Surgical Associates Of Northern Virginia is 1609969930 and holds a License No. 0101043562 (Virginia).

The current practice location address for Pediatric Surgical Associates Of Northern Virginia is 3301 Woodburn Rd, Annandale, VA and can be reached out via phone at 703-560-2236 and via fax at 703-876-4960.

Location: 3301 Woodburn Rd, Annandale, VA, 22003-1229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609969930
Provider Name
Pediatric Surgical Associates Of Northern Virginia
Credential
Provider Entity Type
Organization
Address
3301 Woodburn Rd, Annandale, VA, 22003-1229
Phone Number
703-560-2236
Fax Number
703-876-4960
Provider Enumeration Date
09/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101231159 01 VA VIRGINIA LICENSE
institution
Provider Business Practice Location Address Details
Address
3301 Woodburn Rd
City
Annandale
State
Virginia
Zip
22003-1229
Phone Number
703-560-2236
Fax Number
703-876-4960
person
Provider Business Mailing Address Details
Address
3301 Woodburn Rd
City
Annandale
State
Virginia
Zip
22003-1229
Phone Number
703-560-2236
Fax Number
703-876-4960
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101043562 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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