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General NPI Number Information
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NPI Number | 1144415480
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Entity Type | Organization
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Legal Business Name | VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 1635 N GEORGE MASON DR SUITE 190
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City | ARLINGTON
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State | VA
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Zip | 22205-3601
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Country | US
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Telephone | 703-558-6077
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Fax | 703-558-6015
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Provider Business Mailing Address
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Address Line | 1715 N GEORGE MASON DR SUITE 409
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City | ARLINGTON
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State | VA
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Zip | 22205-3609
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Country | US
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Telephone | 703-558-6077
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Fax | 703-558-6015
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Authorized Official
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Title or Position | CFO
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Name | MS. ROBIN DEPAOLI
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Credential |
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Telephone | 703-558-6104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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