Organization
FAMILYORTHOPAEDICS AND SPORTS MEDICINE OF NORTHERN VIRGINIA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON H. LOWERY (ADMINISTRATOR)
(703) 801-1070
Entity
Organization
Contact information
Practice address
2010 OPITZ BLVD STE C, WOODBRIDGE, VA 22191-3359
(703) 690-4992
Mailing address
2010 OPITZ BLVD STE C, WOODBRIDGE, VA 22191-3359
(703) 690-4992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101029792
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6325327
—
VA
05
—
6400973
—
VA
Enumeration date
01/21/2007
Last updated
10/12/2010
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