Organization
PEDIATRICARE OF NORTHERN VIRGINIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK JAMES GIANCOLA MD (PRESIDENT)
(703) 330-3939
Entity
Organization
Contact information
Practice address
8640 SUDLEY RD, SUITE 306, MANASSAS, VA 20110-4420
(703) 330-3939
(703) 331-0959
Mailing address
8640 SUDLEY ROAD, SUITE 306, MANASSAS, VA 20110-4404
(703) 330-3939
(703) 331-0959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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