Healthcare Provider Details

I. General information

NPI: 1396504247
Provider Name (Legal Business Name): VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2024
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 N GEORGE MASON DR STE 430
ARLINGTON VA
22205-3617
US

IV. Provider business mailing address

1635 N GEORGE MASON DR STE 430
ARLINGTON VA
22205-3617
US

V. Phone/Fax

Practice location:
  • Phone: 703-842-4188
  • Fax: 703-647-1074
Mailing address:
  • Phone: 703-842-4188
  • Fax: 703-647-1074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

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