Organization · Type 2 NPI
Children's Multispecialty Clinic, PLC
Specialist · Herndon, VA
NPI number
1700217684
Active
Practice location
171 Elden Street, Ste. 2C4
Herndon, VA 20170
Fax (703) 481-5804
Mailing address
P.o. Box 10066
Mc Lean, VA 22102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 0101058336 (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 1700217684
Children's Multispecialty Clinic, PLC's National Provider Identifier is 1700217684, issued on Dec 3, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Herndon, VA. The record was last updated on Mar 31, 2014.