Healthcare Provider Details

I. General information

NPI: 1023034907
Provider Name (Legal Business Name): EDWARD S POZARNY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 S CARLIN SPRINGS RD SUITE 512
ARLINGTON VA
22204
US

IV. Provider business mailing address

611 S CARLIN SPRINGS RD STE 508
ARLINGTON VA
22204-1088
US

V. Phone/Fax

Practice location:
  • Phone: 703-820-1472
  • Fax: 703-820-3173
Mailing address:
  • Phone: 703-566-0803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number0103000662
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: