Organization
P.W. PEDIATRICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALAH NEBERAI M.D., FAAP (PEDIRTICIAN)
(571) 402-7130
Entity
Organization
Contact information
Practice address
4001 PRINCE WILLIAM PKWY, SUITE 200, WOODBRIDGE, VA 22192-7666
(571) 402-7130
(571) 285-2166
Mailing address
4001 PRINCE WILLIAM PKWY, SUITE 200, WOODBRIDGE, VA 22192-7666
(571) 402-7130
(571) 285-2166
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
10101058221
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497831051
—
VA
Enumeration date
01/14/2014
Last updated
01/14/2014
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