Organization
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF VIRGINIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS GOLD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 777-3300
Mailing address
PO BOX 452409, SUNRISE, FL 33345-2409
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245854
BCBS-LOUDOUN
VA
Enumeration date
08/22/2006
Last updated
08/22/2020
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