Northern Virginia Surgery Center Anesthesia
Anesthesiology in Fairfax, VA. Organization (NPI-2).
NPI number1356734412
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1356734412
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Virginia Surgery Center Anesthesia
- Organization subpart
- No
- Enumeration date
- Mar 13, 2015
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
3620 Joseph Siewick DrSuite 202
Fairfax, VA 22033-1756
Phone 703-766-6960 · Fax 703-766-6980
Mailing address
Po Box 612402Dallas, TX 75261-2402
Phone 239-610-0775
Authorized official
Brian P Woods
Chief Medical Officer
2146870015
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