Individual
JEFFREY A WELGOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3289 WOODBURN RD, SUITE 130, ANNANDALE, VA 22003-6800
(571) 389-7140
(703) 992-7584
Mailing address
3289 WOODBURN RD, SUITE 130, ANNANDALE, VA 22003-6800
(571) 389-7140
(703) 992-7584
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101057812
VA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
0101057812
VA
207VG0400X
Gynecology Physician
0101057812
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001775YPA1
MEDICARE ID
VA
Enumeration date
07/12/2006
Last updated
07/22/2022
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