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Organization

INOVA HEALTH CARE SERVICES

Active
Other names
INOVA Fairfax PA Surgical Group
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO TALENTO (CHIEF FINANCIAL OFFICER)
(703) 776-4001
Entity
Organization

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4001
Mailing address
8110 GATEHOUSE RD, FALLS CHURCH, VA 22042-1252
(703) 205-2262

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
05/20/2021
Last updated
07/07/2021
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