NPI 1700217684

Children's Multispecialty Clinic, Plc

Organisation Specialist Herndon, VA

Practice location

Address: 171 Elden Street, STE. 2c4, Herndon, VA 20170
Phone: (571) 612-2606
Fax: (703) 481-5804
Mailing address: P.O. Box 10066, Mc Lean, VA 22102

Authorised official

Name: Hasan I. Abdallah.
Title: Medical Director
Phone: (703) 481-5801

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0101058336 (VA)

Other Specialist providers in Virginia →

Registry record

NPI: 1700217684
Entity type: Organization
NPI issued: 3 Dec 2013
Record last updated: 31 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.