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NPI Code Detail

MEDICARE: THE CARDIOVASCULAR GROUP, PC

MEDICARE: THE CARDIOVASCULAR GROUP, PC
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
1207RC0001XClinical Cardiac Electrophysiology Physician
2207RI0011XInterventional Cardiology Physician
3207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1508542168
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CARDIOVASCULAR GROUP, PC
Provider Business Mailing Address
First Line : 2901 TELESTAR CT STE 300
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-1263
Country : US
Telephone Number : 703-591-1688
Fax Number : 703-591-1445
Provider Business Practice Location Address
First Line : 11800 SUNRISE VALLEY DR STE 500
Second Line :
City : RESTON
State : VA
Zip : 20191-5303
Country : US
Telephone Number : 703-437-5977
Fax Number : 703-478-2475
Authorized Official
Title or Position : BILLING MANAGER
Name : SUZANNE Y. WILLIAMSON
Credential :
Telephone Number : 703-621-2268
Provider Enumeration Date : 06/27/2023
Last Update Date : 06/27/2023

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Directions to “THE CARDIOVASCULAR GROUP, PC ” Practice Location

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