Healthcare Provider Details

I. General information

NPI: 1033520697
Provider Name (Legal Business Name): NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW WOMEN'S ONCOLOGY CENTER AND CANCER INSTITUTE
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

3289 WOODBURN RD SUITE 320
ANNANDALE VA
22003-6800
US

V. Phone/Fax

Practice location:
  • Phone: 571-308-1830
  • Fax: 571-308-1843
Mailing address:
  • Phone: 571-308-1830
  • Fax: 571-308-1843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNETTE BICHER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 571-308-1830