| NPI | 1821833799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAYRA BUTRON Office Manager 571-866-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |