Individual provider · Type 1 NPI
Mauricio Dionisio Bas Jr., MD
Vascular Surgery Physician · Woodbridge, VA
NPI number
1437247756
Active
Practice location
1970 Opitz Blvd
Woodbridge, VA 22191-3304
Fax (703) 730-2155
Mailing address
PO Box 4806
Woodbridge, VA 22194-4806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 0101022428 (VA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3 other providers at this address
About NPI 1437247756
Mauricio Dionisio Bas Jr., MD's National Provider Identifier is 1437247756, issued on Oct 11, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Woodbridge, VA. The record was last updated on Jul 8, 2007.