Organization · NPI-2

Adult And Pediatric Healthcare

Pediatrics, Pediatric Allergy/Immunology · Herndon, VA

NPI number1679658363
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1679658363
Entity type
Organization (NPI-2)
Legal business name
Adult And Pediatric Healthcare
Organization subpart
No
Enumeration date
Oct 25, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0201X Pediatrics, Pediatric Allergy/Immunology0101031803VAYes
207K00000X Allergy & Immunology0101031802VA
207KA0200X Allergy & Immunology, Allergy0101031802VA
207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology0101031802VA

Practice location

100 Elden St
Suite 10
Herndon, VA 20170-4873

Phone 703-689-2000

Mailing address

100 Elden St
Suite 10
Herndon, VA 20170-4873

Authorized official

Donna Schuster
President
7036892000

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