MEDICARE: VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

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
1	2086S0127X	Trauma Surgery Physician

General Provider Information

NPI Number	:	1396504247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

Provider Business Mailing Address
First Line	:	1635 N GEORGE MASON DR STE 430
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3617
Country	:	US
Telephone Number	:	703-842-4188
Fax Number	:	703-647-1074

Provider Business Practice Location Address
First Line	:	1635 N GEORGE MASON DR STE 430
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3617
Country	:	US
Telephone Number	:	703-842-4188
Fax Number	:	703-647-1074

Authorized Official
Title or Position	:	CFO
Name	:	JOHN ZABROWSKI
Credential	:
Telephone Number	:	703-558-5000

Provider Enumeration Date	:	03/14/2024
Last Update Date	:	03/21/2024

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