Individual
DR. ELIGIO AGUHOB JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2632
Mailing address
2048 GEORGE WASHINGTON RD, VIENNA, VA 22182-6014
(703) 356-1283
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101056816
VA
207L00000X
Anesthesiology Physician
D50639
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138400700
—
MD
01
—
601285800
FECA
—
Enumeration date
05/22/2006
Last updated
10/27/2021
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