Organization
INOVA FAIRFAX HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE REBECCA SHILO MD (RESIDENT)
(917) 575-4718
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, DEPARTMENT OF PEDIATRICS, FALLS CHURCH, VA 22042-3307
(703) 776-7834
Mailing address
1504 LINCOLN WAY, UNIT 118, MC LEAN, VA 22102-5851
(917) 575-4718
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
0116018750
VA
282NC0060X
Critical Access Hospital
0116018750
VA
282NC2000X
Children's Hospital
Primary
0116018750
VA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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