ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC; NPI #1376795765

Contact Information

ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC

10730 MAIN ST
FAIRFAX, VA 22030-3704

Phone: 703-691-0670
Fax: 703-385-2865
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC

NPI Number 1376795765

LBN Legal business name ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC

Authorized official DOUGLAS STABILE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/16/2008

Last updated 12/30/2013 - About 12 years ago

Identifiers

License #

0103000774

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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