Colonfusion, LLC
Anesthesiology in Reston, VA. Organization (NPI-2).
NPI number1689329856
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1689329856
- Entity type
- Organization (NPI-2)
- Legal business name
- Colonfusion, LLC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2022
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
11440 Commerce Park Dr Ste Ll4Reston, VA 20191-1544
Phone 571-407-5636
Mailing address
11440 Commerce Park Dr Ste Ll4Reston, VA 20191-1544
Authorized official
Allen Blosser
Owner/Provider
5714075636
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