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NPI Code Detail

MEDICARE: DR. VIRGINIA OSORIO M.D.

MEDICARE: DR. VIRGINIA OSORIO M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician008755GA

General Provider Information

NPI Number : 1396107645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIRGINIA OSORIO M.D.
Provider Business Mailing Address
First Line : 1850 TOWN CENTER PKWY
Second Line :
City : RESTON
State : VA
Zip : 20190-3298
Country : US
Telephone Number : 703-689-9000
Fax Number :
Provider Business Practice Location Address
First Line : 1850 TOWN CENTER PKWY
Second Line :
City : RESTON
State : VA
Zip : 20190-3298
Country : US
Telephone Number : 703-689-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2016
Last Update Date : 04/11/2020

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