Organization · Type 2 NPI

Fairfax Colon & Rectal Surgery Center, LLC

Ambulatory Surgical Clinic/Center · Fairfax, VA

NPI number 1306957485 Active

Practice location

2710 Prosperity Ave Ste 200
Fairfax, VA 22031

Call (703) 280-2841 Map

Fax (703) 650-2322

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Colon & Rectal Surgery Physician 208C00000XNone listed
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1306957485

Fairfax Colon & Rectal Surgery Center, LLC's National Provider Identifier is 1306957485, issued on Aug 31, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fairfax, VA. The record was last updated on Dec 4, 2013.