Organization
CHILDREN'S MULTISPECIALTY CLINIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASAN I. ABDALLAH. M.D. (MEDICAL DIRECTOR)
(703) 481-5801
Entity
Organization
Contact information
Practice address
171 ELDEN STREET, STE. 2C4, HERNDON, VA 20170
(571) 612-2606
(703) 481-5804
Mailing address
P.O. BOX 10066, MC LEAN, VA 22102
(571) 612-2600
(571) 266-4096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058336
VA
Other
Enumeration date
12/03/2013
Last updated
03/31/2014
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