Organization · Type 2 NPI
Ent & Allergy Specialists of Virginia PC
Otolaryngology/Facial Plastic Surgery Physician · Ashburn, VA
NPI number
1093992570
Active
Practice location
44320 Premier Plz, Suite 110
Ashburn, VA 20147-5076
Fax (703) 723-9787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician | 207KA0200X | 0101242747 (VA) |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 0101237837 (VA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
4 other providers at this address
About NPI 1093992570
Ent & Allergy Specialists of Virginia PC's National Provider Identifier is 1093992570, issued on Jan 27, 2008. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Ashburn, VA. The record was last updated on Jan 23, 2009.