Organization
VIRGINIA CANCER SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA FAYE FRANK (CREDENTIALING COORDINATOR)
(703) 208-3963
Entity
Organization
Contact information
Practice address
8613 ROUTE 29 STE 200, FAIRFAX, VA 22031-2172
(703) 208-9231
(703) 940-8705
Mailing address
8613 ROUTE 29 STE 200, FAIRFAX, VA 22031-2172
(703) 208-9231
(703) 940-8705
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004756
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053847293
—
VA
Enumeration date
05/09/2017
Last updated
08/14/2024
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