Organization
INOVA FAIRFAX HOSPITAL FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISELDA MANI MEZA M.D. (RESIDENT)
(832) 259-2100
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(832) 259-2100
Mailing address
3254 APPLEGATE CT, ANNANDALE, VA 22003-1108
(832) 259-2100
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
0116019566
VA
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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