Tysons Therapeutics Pllc

NPI 1295886034 - Clinic/Center - 261Q00000X

NPI Details
NPI 1295886034
Enumeration Date 01/16/2007
Last Updated 03/05/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HEIDI JO HEIDI
Position MEDICAL DIRECTOR
Phone (703) 226-4005
Fax (703) 226-4020
Practice Location
8320 OLD COURTHOUSE RD
SUITE 400
VIENNA VA, 22182-3831, US
Phone (703) 226-4005
Fax (703) 226-4020
Business Location
8320 OLD COURTHOUSE RD
SUITE 400
VIENNA VA, 22182-3831, US
Phone (703) 226-4005
Fax (703) 226-4020
Toxanomy
Taxonomy Code 261Q00000X
License State Virginia
License Number 0101056335
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According to our database, Tysons Therapeutics Pllc NPI is 1295886034, taxonomy code is 261Q00000X and license number is 0101056335, license state is located at Virginia. Tysons Therapeutics Pllc physically located at 8320 Old Courthouse Rd, Vienna VA, 22182-3831. NPI Number 1033115704 has the healthcare provider type.

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1295886034 NPI number is provided on an as is basis without warranty of any kind. 1295886034 is maintained by the National Plan & Provider Enumeration System. The contents of Tysons Therapeutics Pllc are for informational purposes only.