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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 : 1891938775
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CARDIOVASCULAR GROUP, PC
Provider Business Mailing Address
First Line : 2901 TELESTAR CT.
Second Line : #300
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 : 4825 MARK CENTER DR STE 150
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-1846
Country : US
Telephone Number : 703-751-8111
Fax Number : 703-751-1105
Authorized Official
Title or Position : DIRECTOR OF THE BUSINESS OFFICE
Name : SUZANNE Y WILLIAMSON
Credential :
Telephone Number : 703-591-1688
Provider Enumeration Date : 04/08/2009
Last Update Date : 11/28/2022

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1851397467 — STEPHEN M. DAY M.D.
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1437111622 — JEFFREY A JACKMAN MD
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1902293210 — DR. JONATHAN IRA SEGAL MD
Practice Location Address:
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Practice Fax: 703-751-1105

Directions to “THE CARDIOVASCULAR GROUP, PC ” Practice Location

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