| Parkway Pediatrics | |
|
464 Herndon Pkwy Suite # 117 Herndon VA 20170-5290 | |
| (703) 230-7201 | |
| (703) 230-7204 |
| Full Name | Parkway Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 464 Herndon Pkwy, Herndon, Virginia |
| Authorized Official Name and Position | Ernest Quaye (PEDIATRICIAN) |
| Authorized Official Contact | 7032307201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Pediatrics 464 Herndon Pkwy Suite # 117 Herndon VA 20170-5290 Ph: (703) 230-7201 | Parkway Pediatrics 464 Herndon Pkwy Suite # 117 Herndon VA 20170-5290 Ph: (703) 230-7201 |
| NPI Number | 1417192261 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 12/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417192261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101043188 (Virginia) | Primary |
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