IndividualActive
Jennifer Pedicano, MD
NPI 1568638229 · Allergy & Immunology Physician · Herndon, VA
Provider details
- NPI number
- 1568638229
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101246807 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Elden St Ste 10
Herndon, VA 20170-4833
Phone: (703) 689-2000
Fax: (703) 478-6612
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 603725
Charlotte, NC 28260-3725
Registry dates
- Enumerated
- 2008-05-02
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.