Watoto Pediatric & Adolescent Specialty, LLC
Pediatrics in Gainesville, VA. Organization (NPI-2).
NPI number1457585481
StatusActive
Last updated in NPPESMay 5, 2009
Details
- NPI
- 1457585481
- Entity type
- Organization (NPI-2)
- Legal business name
- Watoto Pediatric & Adolescent Specialty, LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2009
- Last updated
- May 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
7915 Lake Manassas DriveSuite 209
Gainesville, VA 20155-3260
Phone 571-248-0679 · Fax 571-261-9549
Mailing address
7915 Lake Manassas DriveSuite 209
Gainesville, VA 20155-3260
Phone 571-248-0679 · Fax 571-261-9549
Authorized official
Irving C Williams
Physician/Owner
5712480679
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