Organization
FAIRFAX GASTROENTEROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASEEM AZIZ MD (PRESIDENT)
(703) 620-0688
Entity
Organization
Contact information
Practice address
3650 JOSEPH SIEWICK DR STE 205B, FAIRFAX, VA 22033-1712
(703) 620-0688
(703) 620-6628
Mailing address
PO BOX 220037, CHANTILLY, VA 20153-0037
(703) 620-0688
(703) 620-6628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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