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Contact Information

ANDRES ALISUAG JR, MD
9001 DIGGES ROAD
SUITE 101
MANASSAS, VA20110-4414
 Phone: 703-369-7744
 Fax: 703-369-5097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANDRES ALISUAG JR · (Male)

NPI Number 1417064759
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2006
Last updated 05/05/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101029889
  • VA Medicaid 006079253
  • Other 003860 ANTHEM BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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