Organization
VASCULAR ASSOCIATES OF NORTHERN VIRGINIA PC
Active
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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