Organization
CENTURY PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SRIDEVI MADIRAJU OFFICE MANAGER (VICE PRESIDENT)
(571) 334-6978
Entity
Organization
Contact information
Practice address
2024 OPITZ BLVD STE A, WOODBRIDGE, VA 22191-3388
(703) 492-7000
Mailing address
22445 CONSERVANCY DR, ASHBURN, VA 20148-8068
(703) 680-6641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101054958
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006720421
—
VA
05
—
006739491
—
VA
05
—
010236568
—
VA
01
—
189147
FREDERICKSBURG HEALTHKEEP
VA
01
—
259327
HEALTHKEEPERS PLUS WOODBR
VA
01
—
386437
HEALTHKEEPERS PLUS STAFFO
VA
01
—
5686693
AETNA
VA
01
—
897801
ALLIANCE PPO
VA
01
—
98446
AMERIGROUP
VA
Enumeration date
01/03/2007
Last updated
09/08/2014
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