Provider Demographics
NPI:1982710281
Name:ARLINGTON PEDIATRIC CENTER, INC.
Entity Type:Organization
Organization Name:ARLINGTON PEDIATRIC CENTER, INC.
Other - Org Name:VIRGINIA HOSPITAL CENTER PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE VICE PRESIDENT/CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STERMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-558-8511
Mailing Address - Street 1:3401 COLUMBIA PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4209
Mailing Address - Country:US
Mailing Address - Phone:703-717-7545
Mailing Address - Fax:703-271-8585
Practice Address - Street 1:3401 COLUMBIA PIKE STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4209
Practice Address - Country:US
Practice Address - Phone:703-717-7545
Practice Address - Fax:703-271-8585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1982710281OtherNPI
VA=========OtherTIN
VA1982710281OtherNPI