Organization
CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN PFENNIG (MANAGER)
(202) 476-4447
Entity
Organization
Contact information
Practice address
3023 HAMAKER COURT, SUITE 500, FAIRFAX, VA 22031
(202) 476-6284
Mailing address
PO BOX 17507, BALTIMORE, MD 21297-0483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
HFD01-0208
DC
Other
Enumeration date
05/15/2009
Last updated
10/15/2009
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