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Prince William Pediatrics And Adolescent Center
Primary Care Clinic/Center in Woodbridge, Virginia
NPI 1689965865

Prince William Pediatrics And Adolescent Center is a Primary Care Clinic/Center based in Woodbridge, VA and is specialized in Primary Care. Prince William Pediatrics And Adolescent Center practices in Woodbridge, VA. The NPI Number for Prince William Pediatrics And Adolescent Center is 1689965865 and holds a License No. 0101230761 (Virginia).

The current practice location address for Prince William Pediatrics And Adolescent Center is 12722 Directors Loop, Woodbridge, VA and can be reached out via phone at 703-492-1400 and via fax at 703-492-0220.

Location: 12722 Directors Loop, Woodbridge, VA, 22192-2462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689965865
Provider Name
Prince William Pediatrics And Adolescent Center
Credential
Provider Entity Type
Organization
Address
12722 Directors Loop, Woodbridge, VA, 22192-2462
Phone Number
703-492-1400
Fax Number
703-492-0220
Provider Enumeration Date
04/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154567352 05 VA
1013010180 05 VA
institution
Provider Business Practice Location Address Details
Address
12722 Directors Loop
City
Woodbridge
State
Virginia
Zip
22192-2462
Phone Number
703-492-1400
Fax Number
703-492-0220
person
Provider Business Mailing Address Details
Address
12722 Directors Loop
City
Woodbridge
State
Virginia
Zip
22192-2462
Phone Number
703-492-1400
Fax Number
703-492-0220
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
0101230761 (Virginia)
Definition
Definition to come...
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