THE PEDIATRIC GROUP, PC; NPI #1780808006

Contact Information

THE PEDIATRIC GROUP, PC

12506 A LAKE RIDGE DRIVE
LAKE RIDGE, VA 22192

Phone: 703-494-4811
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pediatrics	163WP0200X

Indicates primary specialty

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NPI Profile & details for THE PEDIATRIC GROUP, PC

NPI Number	`1780808006`
LBN Legal business name	THE PEDIATRIC GROUP, PC
Authorized official	MICHAEL GRADER - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/11/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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THE PEDIATRIC GROUP, PC

Contact Information

Specialty

Pediatrics

NPI Profile & details for THE PEDIATRIC GROUP, PC

Reviews for THE PEDIATRIC GROUP, PC