Healthcare Provider Details

I. General information

NPI: 1356507412
Provider Name (Legal Business Name): AAR WOODBRIDGE IMAGING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 PRINCE WILLIAM PKWY SUITE 302
WOODBRIDGE VA
22192-7630
US

IV. Provider business mailing address

PO BOX 658
BALTIMORE MD
21203-0658
US

V. Phone/Fax

Practice location:
  • Phone: 703-494-3309
  • Fax:
Mailing address:
  • Phone: 877-845-9689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BARBU
Title or Position: PRESIDENT
Credential: MD
Phone: 703-824-3210