Organization · Type 2 NPI

Fairfax Gastroenterology, Inc.

Specialist · Fairfax, VA

NPI number 1164448577 Active

Practice location

3650 Joseph Siewick Dr Ste 205B
Fairfax, VA 22033-1712

Call (703) 620-0688 Map

Fax (703) 620-6628

Mailing address

PO Box 220037
Chantilly, VA 20153-0037

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1164448577

Fairfax Gastroenterology, Inc.'s National Provider Identifier is 1164448577, issued on Jul 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairfax, VA. The record was last updated on Aug 22, 2020.