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Organization

WASHINGTON METRO PULMONARY L L C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THIEU M DO M.D. (MEDICAL DIRECTOR)
(703) 658-7060
Entity
Organization

Contact information

Practice address
7611 LITTLE RIVER TPKE, SUITE 108 W, ANNANDALE, VA 22003-2602
(703) 658-7060
(703) 658-3150
Mailing address
7611 LITTLE RIVER TPKE, SUITE 108 W, ANNANDALE, VA 22003-2602
(703) 658-7060
(703) 658-3150

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101049539
VA
207RP1001X
Pulmonary Disease Physician
0101049539
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005868157
VA
Enumeration date
05/04/2006
Last updated
10/31/2012
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