Healthcare Provider Details

I. General information

NPI: 1225624679
Provider Name (Legal Business Name): VIRGINIA PULMONOLOGY AND CRITICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2020
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4604 SPOTSYLVANIA PKWY STE 340
FREDERICKSBRG VA
22408-7767
US

IV. Provider business mailing address

4604 SPOTSYLVANIA PKWY STE 340
FREDERICKSBRG VA
22408-7767
US

V. Phone/Fax

Practice location:
  • Phone: 276-783-1827
  • Fax: 276-783-2879
Mailing address:
  • Phone: 276-783-1827
  • Fax: 276-783-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JORGE H DOLOJAN
Title or Position: PHYSICIAN/SHAREHOLDER
Credential: MD
Phone: 301-213-2272