Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatricare of Northern Virginia, PC

Organization Pediatrics Physician · NPI 1104994623

Pediatricare of Northern Virginia, PC provides Pediatrics Physician services in Manassas, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8640 Sudley Rd Ste 306
Manassas, VA 20110-4420
Phone: (703) 330-3939
Fax: (703) 331-0959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1104994623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Giancola — President · (703) 330-3939
NPI enumeratedDecember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8640 Sudley Road, Suite 306, Manassas, VA 20110-4404

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