Healthcare Provider Details

I. General information

NPI: 1780846469
Provider Name (Legal Business Name): ASSOCIATION OF ALEXANDRIA RADIOLOGISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 WALKER LN
ALEXANDRIA VA
22310-3245
US

IV. Provider business mailing address

PO BOX 658
BALTIMORE MD
21203-0658
US

V. Phone/Fax

Practice location:
  • Phone: 703-797-6891
  • Fax:
Mailing address:
  • Phone: 877-845-9689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD BARBU
Title or Position: PRESIDENT
Credential:
Phone: 703-824-3210