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NPI Code Detail

MEDICARE: MR. STUART MARK SALTZMAN

MEDICARE: MR. STUART MARK SALTZMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001053446VA
2171100000XAcupuncturist0121000100VA
3363L00000XNurse Practitioner0024189245VA

General Provider Information

NPI Number : 1144499450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STUART MARK SALTZMAN
Provider Business Mailing Address
First Line : 11160C1 S LAKES DR # 155
Second Line :
City : RESTON
State : VA
Zip : 20191-4327
Country : US
Telephone Number : 703-915-1369
Fax Number : 571-410-0208
Provider Business Practice Location Address
First Line : 11870 SUNRISE VALLEY DR STE 100
Second Line :
City : RESTON
State : VA
Zip : 20191-3303
Country : US
Telephone Number : 703-915-1369
Fax Number : 703-571-2028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 01/24/2024

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