Van Dorn Pediatrics, Pc | |
2500 N Van Dorn St Ste 102 Alexandria VA 22302-1601 | |
(703) 933-0555 | |
(703) 933-0999 |
Full Name | Van Dorn Pediatrics, Pc |
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Speciality | Clinic/Center |
Location | 2500 N Van Dorn St Ste 102, Alexandria, Virginia |
Authorized Official Name and Position | Moheb Andrawis (DIRECTOR) |
Authorized Official Contact | 7039330555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Van Dorn Pediatrics, Pc 2500 N Van Dorn St Ste 102 Alexandria VA 22302-1601 Ph: (703) 933-0555 | Van Dorn Pediatrics, Pc 2500 N Van Dorn St Ste 102 Alexandria VA 22302-1601 Ph: (703) 933-0555 |
NPI Number | 1639379159 |
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Provider Enumeration Date | 07/23/2007 |
Last Update Date | 06/25/2020 |
Medicare PECOS PAC ID | 4981013497 |
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Medicare Enrollment ID | O20210513002298 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639379159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0101232408 (Virginia) | Primary |
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