Individual provider · NPI-1
Dr. Patrick William Palumbo, MD, AAPS
Emergency Medicine · Vienna, VA
NPI number1871669960
StatusActive
Last updated in NPPESNov 23, 2016
Details
- NPI
- 1871669960
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patrick William Palumbo
- Credential
- MD, AAPS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2006
- Last updated
- Nov 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101044923 | VA | Yes |
| 208600000X | Surgery | 0101044923 | VA | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Practice location
8206 Leesburg Pike Ste 401Vienna, VA 22182-2614
Phone 703-356-5666
Mailing address
334 Elden StHerndon, VA 20170-4818
Phone 571-665-4000
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