Individual provider · Type 1 NPI

Theodore E. Temoshchuk, PA

Surgical Physician Assistant · Alexandria, VA

NPI number 1285955146 Active

Practice location

2501 Parkers Ln
Alexandria, VA 22306-3209

Call (703) 664-7264 Map

Fax (703) 664-7075

Mailing address

3207 Norwich Ter
Alexandria, VA 22309-2129

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0110000047 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1285955146

Theodore E. Temoshchuk, PA's National Provider Identifier is 1285955146, issued on Jun 15, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Alexandria, VA. The record was last updated on Jun 15, 2010.