# FAIRFAX ARRHYTHMIA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104163542
- **Authorized official:** DAVID STROUSE MD (PARTNER)
- **Authorized official phone:** (703) 208-7257

## Contact information

- **Practice address:** 3020 HAMAKER CT, SUITE 401, FAIRFAX, VA 22031-2238
- **Practice address phone:** (703) 208-7257
- **Mailing address:** PO BOX 503, MERRIFIELD, VA 22116-0503
- **Mailing address phone:** (703) 208-7257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 0101232709 | VA | Yes |

## Other

- **Enumeration date:** 01/04/2013
- **Last updated:** 01/18/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010008247 | — | VA |
| 05 | — | 095308100 | — | VA |