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Contact Information

RICHARD J EDGAR, MD
1850 TOWN CENTER PKWY STE 459
RESTON, VA20190-3300
 Phone: 703-892-6500
 Fax: 703-769-8437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RICHARD J EDGAR · (Male)

NPI # 1851889158
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2018
Last updated 10/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0094921
  • PA License # MD473773
  • VA License # 0101275769
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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