# PEDIATRIC PHYSICIANS OF RESTON, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reston Town Center Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841494796
- **Authorized official:** MS. ROSEMARY J. CONNOLLY RT R (PRACTICE MANAGER)
- **Authorized official phone:** (703) 435-0325

## Contact information

- **Practice address:** 1830 TOWN CENTER DR, SUITE \# 205, RESTON, VA 20190-3292
- **Practice address phone:** (703) 435-3636
- **Practice address fax:** (703) 435-9145
- **Mailing address:** 1830 TOWN CENTER DR, SUITE \# 205, RESTON, VA 20190-3292
- **Mailing address phone:** (703) 435-3636
- **Mailing address fax:** (703) 435-9145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2020