Organization
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OLIVER CEO (CEO)
(786) 530-3820
Entity
Organization
Contact information
Practice address
3700 JOSEPH SIEWICK DR., SUITE 308, FAIRFAX, VA 22033-1739
(703) 716-8700
(703) 716-8703
Mailing address
3700 JOSEPH SIEWICK DR., SUITE 308, FAIRFAX, VA 22033-1739
(703) 716-8700
(703) 716-8703
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104411
KAISER
—
01
—
178704
ANTHEM BCBS
VA
05
—
3810003805
—
VA
01
—
7916
CAREFIRST BCBS
—
01
—
CD8396
RAILROAD MEDICARE
VA
Enumeration date
05/04/2006
Last updated
05/15/2025
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