Healthcare Provider Details

I. General information

NPI: 1932176823
Provider Name (Legal Business Name): NORMAN ALVA ARMSTRONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 12/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6845 ELM ST SUITE 600
MC LEAN VA
22101-6007
US

IV. Provider business mailing address

PO BOX 37174
BALTIMORE MD
21297-3174
US

V. Phone/Fax

Practice location:
  • Phone: 703-748-9880
  • Fax: 703-748-7123
Mailing address:
  • Phone: 703-978-1196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number101026249
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: