Organization · NPI-2

Abc Pediatric Urgent Care PLLC

Clinic/Center, Urgent Care · Ashburn, VA

NPI number1023873502
StatusActive
Last updated in NPPESNov 18, 2024

Details

NPI
1023873502
Entity type
Organization (NPI-2)
Legal business name
Abc Pediatric Urgent Care PLLC
Organization subpart
No
Enumeration date
Feb 14, 2024
Certification date
Nov 18, 2024
Last updated
Nov 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes
207PP0204X Emergency Medicine, Pediatric Emergency Medicine––

Practice location

23634 Strickland Dr Ste 200
Ashburn, VA 20148-7725

Phone 703-687-6822 · Fax 703-239-7083

Mailing address

23634 Strickland Dr Ste 110
Ashburn, VA 20148-7727

Phone 703-687-6822 · Fax 703-239-7083

Authorized official

Eugene Chung
Ceo
5712481948

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