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Northern Virginia Gastroenterology, Pc
Specialist in Centreville, Virginia
NPI 1366748634

Northern Virginia Gastroenterology, Pc is a Specialist based in Centreville, VA. Northern Virginia Gastroenterology, Pc practices in Centreville, VA. The NPI Number for Northern Virginia Gastroenterology, Pc is 1366748634 and holds a License No. 0101055991 (Virginia).

The current practice location address for Northern Virginia Gastroenterology, Pc is 6211 Centreville Road, Centreville, VA and can be reached out via phone at 703-263-3393 and via fax at 703-263-2606.

Location: 6211 Centreville Road, Centreville, VA, 20121-2635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366748634
Provider Name
Northern Virginia Gastroenterology, Pc
Credential
Provider Entity Type
Organization
Address
6211 Centreville Road, Centreville, VA, 20121-2635
Phone Number
703-263-3393
Fax Number
703-263-2606
Provider Enumeration Date
02/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001014 01 VA MEDICARE MIN
institution
Provider Business Practice Location Address Details
Address
6211 Centreville Road
City
Centreville
State
Virginia
Zip
20121-2635
Phone Number
703-263-3393
Fax Number
703-263-2606
person
Provider Business Mailing Address Details
Address
6211 Centreville Road
City
Centreville
State
Virginia
Zip
20121-2635
Phone Number
703-263-3393
Fax Number
703-263-2606
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101055991 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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