NPI | 1356432934 |
---|---|
Doing Business As | OLDE TOWNE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | ANASTASIA LONGCHAMPS WILLIAMS President/CEO 703-365-0227 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 06-00006304) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2020-08-22 |