Individual provider · Type 1 NPI
Benjamin Pasicov, MD
General Practice Physician · Mclean, VA
NPI number
1487782280
Active
Practice location
1340 Old Chain Bridge Rd, Ste. 101
Mclean, VA 22101-3955
Fax (703) 893-4559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 0101027134 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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- Fred Elias Goldberg, ODOptometrist Mclean, VA NPI 1871660571
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About NPI 1487782280
Benjamin Pasicov, MD's National Provider Identifier is 1487782280, issued on Mar 1, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mclean, VA. The record was last updated on Jul 8, 2007.