Healthcare Provider Details

I. General information

NPI: 1083056774
Provider Name (Legal Business Name): VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2013
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N GEORGE MASON DR STE 325
ARLINGTON VA
22205-3690
US

IV. Provider business mailing address

1625 N GEORGE MASON DR STE 325
ARLINGTON VA
22205-3690
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-4600
  • Fax: 703-717-4601
Mailing address:
  • Phone: 703-717-4600
  • Fax: 703-717-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN ZABROWSKI
Title or Position: CFO
Credential:
Phone: 703-558-5000