MEDICARE: EDWARD DANOFF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202013116	VA

General Provider Information

NPI Number	:	1275266082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD DANOFF

Provider Business Mailing Address
First Line	:	8100 OLD DOMINION DR STE C
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-2034
Country	:	US
Telephone Number	:	703-827-0990
Fax Number	:	703-827-0990

Provider Business Practice Location Address
First Line	:	8100 OLD DOMINION DR STE C
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-2034
Country	:	US
Telephone Number	:	703-827-0990
Fax Number	:	703-827-0990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2022
Last Update Date	:	07/08/2022

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Directions to “ EDWARD DANOFF ” Practice Location

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