| NPI | 1376733782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIJANA C DUCIC Owner 703-717-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101057772) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2014-05-09 |