| NPI | 1922181007 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BONITA JEAN MAKDAD President 804-282-8082 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | 
| Enumeration Date | 2006-10-23 | 
| Last Update Date | 2020-08-22 |