MEDICARE: DR. DAVID GEOFFREY ALLINGHAM JR. 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
1	146D00000X	Personal Emergency Response Attendant	0101046274	VA
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	0101046274	VA

General Provider Information

NPI Number	:	1538229497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID GEOFFREY ALLINGHAM JR. M.D.

Provider Business Mailing Address
First Line	:	2915 HUNTER MILL RD
Second Line	:	SUITE 11
City	:	OAKTON
State	:	VA
Zip	:	22124-1716
Country	:	US
Telephone Number	:	703-255-1190
Fax Number	:	703-255-1193

Provider Business Practice Location Address
First Line	:	14087 RICHMOND HWY STE 101
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-2171
Country	:	US
Telephone Number	:	571-300-8000
Fax Number	:	571-300-0001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	06/14/2023

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