Healthcare Provider Details

I. General information

NPI: 1871557488
Provider Name (Legal Business Name): FOXHALL PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW STE 238 FOXHALL SQUARE
WASHINGTON DC
20016
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW STE 238 FOXHALL SQUARE
WASHINGTON DC
20016
US

V. Phone/Fax

Practice location:
  • Phone: 202-537-1180
  • Fax: 202-244-7410
Mailing address:
  • Phone: 202-537-1180
  • Fax: 202-244-7410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GUILLERMO A BALFOUR
Title or Position: PRESIDENT
Credential: MD
Phone: 202-537-1180