Organization
VIRGINIA PEDIATRIC AND ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIJANA C DUCIC MD (OWNER)
(703) 717-4090
Entity
Organization
Contact information
Practice address
5275 LEE HIGHWAY, SUITE 200, ARLINGTON, VA 22207
(703) 717-4090
(703) 717-4091
Mailing address
5275 LEE HIGHWAY, SUITE 200, ARLINGTON, VA 22207
(703) 717-4090
(703) 717-4091
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
0101057772
VA
Other
Enumeration date
08/01/2007
Last updated
05/09/2014
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