| NPI | 1437473238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMA P WIJETILLEKE Physician 703-379-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101033749) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |