Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crestwood Pediatric Associates PC

Organization Pediatrics Physician · NPI 1629034897

Crestwood Pediatric Associates PC is a Pediatrics Physician 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

10623 Crestwood Dr
Manassas, VA 20109-3433
Phone: (703) 361-7131
Fax: (703) 330-2065
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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 number1629034897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandy Mullins — Office Manager · (703) 361-7131
NPI enumeratedApril 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address10623 Crestwood Dr, Manassas, VA 20109-3433

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