Provider Demographics
NPI:1689727695
Name:TOWN PEDIATRICS, PC
Entity Type:Organization
Organization Name:TOWN PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:FINN
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-777-5222
Mailing Address - Street 1:823 S KING ST STE F
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-3916
Mailing Address - Country:US
Mailing Address - Phone:703-777-5222
Mailing Address - Fax:703-777-5144
Practice Address - Street 1:823 S KING ST STE F
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3916
Practice Address - Country:US
Practice Address - Phone:703-777-5222
Practice Address - Fax:703-777-5144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101050658OtherPATRICIA F. RAPPAPORT
VA0101238258OtherHEIDI L. SAMPANG
VA002241660029OtherLAYLAH T. GAETA
VA0101049391OtherSANDRA J. GROEBER
VA0101238258OtherHEIDI L. SAMPANG
VA0101050658OtherPATRICIA F. RAPPAPORT