Organization
CHILDREN & ADOLESCENT PEDIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOSUN FAQIRI MD (OWNER)
(302) 299-6648
Entity
Organization
Contact information
Practice address
161 FORT EVANS RD NE, SUITE 330, LEESBURG, VA 20176-3369
(703) 777-5224
(703) 777-5227
Mailing address
161 FORT EVANS RD NE, SUITE 330, LEESBURG, VA 20176-3369
(703) 777-5224
(703) 777-5227
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10101251326
VA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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