Aaa Pediatrics | |
2200 Opitz Blvd Ste 355 Woodbridge VA 22191-3340 | |
(703) 580-6400 | |
Not Available |
Full Name | Aaa Pediatrics |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2200 Opitz Blvd Ste 355, Woodbridge, Virginia |
Authorized Official Name and Position | Oscar Fernando Sugastti (OWNER) |
Authorized Official Contact | 7036350314 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aaa Pediatrics 2200 Opitz Blvd Ste 355 Woodbridge VA 22191-3340 Ph: (703) 580-6400 | Aaa Pediatrics 2200 Opitz Blvd Ste 355 Woodbridge VA 22191-3340 Ph: (703) 580-6400 |
NPI Number | 1942514435 |
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Provider Enumeration Date | 07/27/2010 |
Last Update Date | 06/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942514435 | NPI | - | NPPES |
010277311 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0101239590 (Virginia) | Primary |
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