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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