Organization
PEDIATRIC ASSOCIATES OF NORTHERN VIRGINIA, P.C.
Active
Other names
OLDE TOWNE PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANASTASIA LONGCHAMPS WILLIAMS M.D. (PRESIDENT/CEO)
(703) 365-0227
Entity
Organization
Contact information
Practice address
9324 WEST ST, 101, MANASSAS, VA 20110-5138
(703) 365-0227
(703) 365-0332
Mailing address
9324 WEST ST, 101, MANASSAS, VA 20110-5138
(703) 365-0227
(703) 365-0332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
06-00006304
VA
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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