Healthcare Provider Details

I. General information

NPI: 1538229497
Provider Name (Legal Business Name): DAVID GEOFFREY ALLINGHAM JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14087 RICHMOND HWY STE 101
WOODBRIDGE VA
22191-2171
US

IV. Provider business mailing address

2915 HUNTER MILL RD SUITE 11
OAKTON VA
22124-1716
US

V. Phone/Fax

Practice location:
  • Phone: 571-300-8000
  • Fax: 571-300-0001
Mailing address:
  • Phone: 703-255-1190
  • Fax: 703-255-1193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number0101046274
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number0101046274
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: