Organization
PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E GLASER (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/12/2026
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