Fairfax Gastroenterology, Inc.

NPI 1164448577 - Specialist - 174400000X

NPI Details
NPI 1164448577
Enumeration Date 07/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WASEEM WASEEM
Position PRESIDENT
Phone (703) 620-0688
Fax (703) 620-6628
Practice Location
3650 JOSEPH SIEWICK DR STE 205B
FAIRFAX VA, 22033-1712, US
Phone (703) 620-0688
Fax (703) 620-6628
Business Location
PO BOX 220037
CHANTILLY VA, 20153-0037, US
Phone (703) 620-0688
Fax (703) 620-6628
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Fairfax Gastroenterology, Inc. NPI is 1164448577, taxonomy code is 174400000X Fairfax Gastroenterology, Inc. physically located at 3650 Joseph Siewick Dr Ste 205b, Fairfax VA, 22033-1712. NPI Number 1033115704 has the healthcare provider type.

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1164448577 NPI number is provided on an as is basis without warranty of any kind. 1164448577 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Gastroenterology, Inc. are for informational purposes only.