Organization
PRINCE WILLIAM ORTHOPAEDICS HAND SURGERY SPORTS MEDICINE CENTER,LLC
Active
Parent organization
A DIVISON OF CENTERS FOR ADVANCED ORTHOPAEDICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
A DIVISON OF CENTERS FOR ADVANCED ORTHOPAEDICS
Authorized official
RICHARD ROBINSON (COO)
(301) 637-8712
Entity
Organization
Contact information
Practice address
8525 ROLLING RD, SUITE 300, MANASSAS, VA 20110
(703) 393-1667
(703) 393-2517
Mailing address
6707 DEMOCRACY BLVD STE 504, BETHESDA, MD 20817-1166
(703) 393-1667
(703) 393-2517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004667
VA
363AM0700X
Medical Physician Assistant
Primary
0110004667
VA
363AS0400X
Surgical Physician Assistant
0110004667
VA
Other
Enumeration date
07/14/2014
Last updated
03/13/2020
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