Healthcare Provider Details

I. General information

NPI: 1639511504
Provider Name (Legal Business Name): VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 N GEORGE MASON DR STE 4A
ARLINGTON VA
22207-1953
US

IV. Provider business mailing address

1851 N GEORGE MASON DR STE 4A
ARLINGTON VA
22207-1953
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-4200
  • Fax: 703-717-4201
Mailing address:
  • Phone: 703-717-4200
  • Fax: 703-717-4201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

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