Healthcare Provider Details

I. General information

NPI: 1902023690
Provider Name (Legal Business Name): BUXO & ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2853 DUKE ST BUILDING #3, UPPER LEVEL
ALEXANDRIA VA
22314-4512
US

IV. Provider business mailing address

2853 DUKE ST BUILDING #3, UPPER LEVEL
ALEXANDRIA VA
22314-4512
US

V. Phone/Fax

Practice location:
  • Phone: 703-751-7880
  • Fax:
Mailing address:
  • Phone: 703-751-7880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number0101049863
License Number StateVA

VIII. Authorized Official

Name: FRANCISCO J. BUXO
Title or Position: PRESIDENT AND OWNER
Credential: MD
Phone: 703-751-7880