Organization
CRESTWOOD PEDIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY MULLINS (OFFICE MANAGER)
(703) 361-7131
Entity
Organization
Contact information
Practice address
10623 CRESTWOOD DR, MANASSAS, VA 20109-3433
(703) 361-7131
(703) 330-2065
Mailing address
10623 CRESTWOOD DR, MANASSAS, VA 20109-3433
(703) 361-7131
(703) 330-2065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/25/2006
Last updated
08/22/2020
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