Healthcare Provider Details

I. General information

NPI: 1124161450
Provider Name (Legal Business Name): ASSOCIATES IN ORTHOPAEDICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8346 TRAFORD LN
SPRINGFIELD VA
22152-1600
US

IV. Provider business mailing address

8346 TRAFORD LN
SPRINGFIELD VA
22152-1600
US

V. Phone/Fax

Practice location:
  • Phone: 703-569-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: NORMAN MARCUS
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 703-569-6700