Organization
THE PEDIATRIC GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA RIVERS (PRACTICE ADMINISTRATOR)
(703) 971-6900
Entity
Organization
Contact information
Practice address
7015C MANCHESTER BLVD, ALEXANDRIA, VA 22310-3253
(703) 971-6900
(703) 971-9184
Mailing address
7015C MANCHESTER BLVD, ALEXANDRIA, VA 22310-3253
(703) 971-6900
(703) 971-9184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205884434
E. LIN, MD
VA
01
—
1225096373
E. CAVROS, MD
VA
01
—
1235187725
E. PALUMBO, MD
VA
01
—
1255399382
N. LEYKAM, MD
VA
01
—
1407814403
T. GARRETT, MD
VA
01
—
1427016864
V. GIANNUZZI, MD
VA
01
—
1689632028
C. FUGATE, MD
VA
01
—
1700844701
A. KAPOOR, MD
VA
Enumeration date
06/10/2006
Last updated
08/22/2020
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