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Organization

P.W. PEDIATRICS P.C.

Active
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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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