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

Fairfax Neonatal Associates, PC

Organization Pediatric Surgery Physician · NPI 1700088242

Fairfax Neonatal Associates, PC is a Pediatric Surgery Physician in Fairfax, Virginia. Registered with an NPI since 2007.

In the registry since
2007
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

2730 Prosperity Ave Ste C
Fairfax, VA 22031-4329
Phone: (703) 560-2236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X

Record details

NPI number1700088242
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFairfax Neonatal Associates
Authorized official Carolyn Halterman — Project Manager · (703) 289-1448
Other names Pediatric Surgical Group
NPI enumeratedJune 5, 2007
Last updated in NPPESMay 18, 2016
Mailing address2730 Prosperity Ave # B, Fairfax, VA 22031-4329

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