Healthcare Provider Details

I. General information

NPI: 1205951928
Provider Name (Legal Business Name): WILLIAM F ENOS MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S CARLIN SPRINGS RD ARLINGTON
ARLINGTON VA
22204-1023
US

IV. Provider business mailing address

5723B CENTRE SQUARE DR
CENTREVILLE VA
20120-1916
US

V. Phone/Fax

Practice location:
  • Phone: 703-578-2222
  • Fax: 703-578-2076
Mailing address:
  • Phone: 703-830-3633
  • Fax: 703-830-4858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM F ENOS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 703-578-2222