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ENT & ALLERGY SPECIALISTS OF VIRGINIA PC

Allergy

Ashburn, Virginia

Provider NPI: 1093992570

Organization Information:
Organization Name:  ENT & ALLERGY SPECIALISTS OF VIRGINIA PC


Practice Location:
44320 PREMIER PLZ SUITE 110 ASHBURN, VA 20147 US
Tel: 703-723-8727  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
VA0101242747
Y207YX0905XPhysicians
Otolaryngology
VA0101237837

Other Provider Identifiers:

IssuerNumberStateType
0101237837VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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