Blue Mantle Medicine Pllc
Pediatrics
Blue Mantle Medicine Pllc is a Fairfax, Virginia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
4001 Fair Ridge Dr Ste 305, Fairfax, Virginia - 22033-2917. They can be contacted on phone at
540-701-4767 and fax number 703-520-9880.
NPI number (Unique professional ID) for Blue Mantle Medicine Pllc is
1417658980 which was assigned by NPPES on 13 Mar, 2023 and it was last updated on 13 Mar, 2023.
Blue Mantle Medicine Pllc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Blue Mantle Medicine Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Blue Mantle Medicine Pllc |
|---|
Business Address:
Blue Mantle Medicine Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4001 Fair Ridge Dr Ste 305
Fairfax, VA, 22033-2917
United States |
|---|
| Phone Number : | 540-701-4767 |
|---|
| Fax Number : | 703-520-9880 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417658980 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Mar, 2023 |
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| Last Updated On : | 13 Mar, 2023 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Sita Canady |
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| Official Title or Position : | MD |
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| Phone Number : | 5406451856 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blue Mantle Medicine Pllc are as mentioned. Primary taxonomy code for Blue Mantle Medicine Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | - |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4001 Fair Ridge Dr Ste 305
Fairfax, VA, 22033-2917
United States |
|---|
| Phone Number : | 540-701-4767 |
|---|
| Fax Number : | 703-520-9880 |
|---|
Business Location:
Patients can refer following map for directions to
Blue Mantle Medicine Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.