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Contact Information

GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
3700 JOSEPH SIEWICK DR.
SUITE 308
FAIRFAX, VA22033-1739
 Phone: 703-716-8700
 Fax: 703-716-8703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA LLC · (Female)

NPI Number 1205884368
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2006
Last updated 05/15/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • VA Medicaid 3810003805
  • Other 7916 CAREFIRST BCBS
  • Other 104411 KAISER
  • VA Other 178704 ANTHEM BCBS
  • VA Other CD8396 RAILROAD MEDICARE
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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