# INOVA FAIRFAX HOSPITAL FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649437666
- **Authorized official:** GRISELDA MANI MEZA M.D. (RESIDENT)
- **Authorized official phone:** (832) 259-2100

## Contact information

- **Practice address:** 3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
- **Practice address phone:** (832) 259-2100
- **Mailing address:** 3254 APPLEGATE CT, ANNANDALE, VA 22003-1108
- **Mailing address phone:** (832) 259-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 0116019566 | VA | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 05/19/2008