Fair Oaks Urology, L.L.C.
Specialist in Fairfax, VA. Organization (NPI-2).
NPI number1982140687
StatusActive
Last updated in NPPESJan 2, 2018
Details
- NPI
- 1982140687
- Entity type
- Organization (NPI-2)
- Legal business name
- Fair Oaks Urology, L.L.C.
- Organization subpart
- No
- Enumeration date
- Jan 18, 2017
- Last updated
- Jan 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
3700 Joseph Siewick Dr Ste 101Fairfax, VA 22033-1737
Phone 703-698-1856 · Fax 703-207-0843
Mailing address
3700 Joseph Siewick Dr Ste 101Fairfax, VA 22033-1737
Phone 703-698-1856 · Fax 703-207-0843
Authorized official
Anthony R Vara
Physician
7036981856
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