Organization
HAYMARKET PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD D MICHEL M.D. (OWNER)
(703) 753-1895
Entity
Organization
Contact information
Practice address
4424 COSTELLO WAY, HAYMARKET, VA 20169-2996
(703) 753-1895
(703) 753-4630
Mailing address
4424 COSTELLO WAY, HAYMARKET, VA 20169-2996
(703) 753-1895
(703) 753-4630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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