Organization · Type 2 NPI
Brandon Avenue Pediatrics
Specialist · Springfield, VA
NPI number
1215334941
Active
Practice location
6126 Brandon Ave
Springfield, VA 22150-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 0101051396 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1215334941
Brandon Avenue Pediatrics's National Provider Identifier is 1215334941, issued on Nov 24, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Springfield, VA. The record was last updated on Nov 24, 2014.