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Organization
PEDIATRIC PHYSICIANS OF RESTON, PC
Active
Organization
PEDIATRIC PHYSICIANS OF RESTON, PC
Active
Other names
Reston Town Center Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY J. CONNOLLY RT R (PRACTICE MANAGER)
(703) 435-0325
Entity
Organization
Contact information
Practice address
1830 TOWN CENTER DR, SUITE # 205, RESTON, VA 20190-3292
(703) 435-3636
(703) 435-9145
Mailing address
1830 TOWN CENTER DR, SUITE # 205, RESTON, VA 20190-3292
(703) 435-3636
(703) 435-9145
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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