Fairfax Lung Center Pc

NPI 1790951994 - Internal Medicine - 207RP1001X

NPI Details
NPI 1790951994
Enumeration Date 05/07/2008
Last Updated 02/02/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WILLIAM OSBORN WILLIAM
Position PRESIDENT
Phone (703) 389-1027
Fax
Practice Location
3650 JOSEPH SIEWICK DR
SUITE 303
FAIRFAX VA, 22033-1710, US
Phone (703) 389-1027
Fax
Business Location
2916 HIBBARD ST
OAKTON VA, 22124-2648, US
Phone (703) 242-0919
Fax
Toxanomy
Taxonomy Code 207RP1001X
License State Virginia
License Number 101239857
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According to our database, Fairfax Lung Center Pc NPI is 1790951994, taxonomy code is 207RP1001X and license number is 101239857, license state is located at Virginia. Fairfax Lung Center Pc physically located at 3650 Joseph Siewick Dr, Fairfax VA, 22033-1710. NPI Number 1033115704 has the healthcare provider type.

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1790951994 NPI number is provided on an as is basis without warranty of any kind. 1790951994 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Lung Center Pc are for informational purposes only.