Organization
BRANDON AVENUE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAAD O. AL-HARIRI MD (PRESIDENT)
(571) 830-6337
Entity
Organization
Contact information
Practice address
6126 BRANDON AVE, SPRINGFIELD, VA 22150-2610
(571) 830-6337
Mailing address
6126 BRANDON AVE, SPRINGFIELD, VA 22150
(571) 830-6337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101051396
VA
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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