| NPI | 1821055609 |
|---|---|
| Other Name | FAIRFAX NEONATAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GREGORY EDWARD BENGSTON EVP, COO 703-289-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2025-05-21 |