Organization
VASCULAR ASSOCIATES OF NORTHERN VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STEPHEN PODOLSKY MD (PHYSICIAN PRESIDENT)
(703) 709-7610
Entity
Organization
Contact information
Practice address
1760 RESTON PARKWAY, SUITE 306, RESTON, VA 20190-3359
(703) 709-7610
(703) 709-7988
Mailing address
1760 RESTON PARKWAY, SUITE 306, RESTON, VA 20190-3359
(703) 709-7610
(703) 709-7988
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101055000
VA
Other
Enumeration date
10/13/2006
Last updated
04/28/2016
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