Organization
PEDIATRIC SURGICAL ASSOCIATES OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLYSON A. ASKEW M.D. (PRESIDENT)
(703) 560-2236
Entity
Organization
Contact information
Practice address
3301 WOODBURN RD, SUITE 205, ANNANDALE, VA 22003-1229
(703) 560-2236
(703) 876-4960
Mailing address
3301 WOODBURN RD, SUITE 205, ANNANDALE, VA 22003-1229
(703) 560-2236
(703) 876-4960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101043562
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101231159
VIRGINIA LICENSE
VA
Enumeration date
09/30/2006
Last updated
08/22/2020
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