Individual
THOMAS JEROME HEGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 E. HIRST ROAD, SUITE 303, PURCELLVILLE, VA 20132-6602
(540) 338-9896
(540) 338-8235
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6001
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101052903
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093708513
—
VA
Enumeration date
08/30/2005
Last updated
11/29/2022
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