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

Elden St Pediatrics

Organization Pediatrics Physician · NPI 1215091038

Elden St Pediatrics provides Pediatrics Physician services in Herndon, Virginia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

110 Elden St Ste #D
Herndon, VA 20170-4891
Phone: (703) 471-6996
Fax: (703) 435-7765
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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 number1215091038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Millicent Tetteyfio — Rn.Ofc.Mgr · (703) 471-6996
NPI enumeratedDecember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address110 Elden St, Suite #D, Herndon, VA 20170-4891

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