Individual
DR. ALEXANDER-NICHOLAS DESIERTO SUTINGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACEP
Contact information
Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 349-0595
(540) 349-0587
Mailing address
PO BOX 223323, CHANTILLY, VA 20153-3323
(540) 349-0595
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101237771
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010169461
—
VA
05
—
010169674
—
VA
Enumeration date
07/31/2006
Last updated
03/13/2012
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