Organization
FAIRFAX HEART ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RADOMSKY (ADMINISTRATOR)
(703) 204-9301
Entity
Organization
Contact information
Practice address
3301 WOODBURN RD, SUITE 301, ANNANDALE, VA 22003-1229
(703) 204-9301
Mailing address
3301 WOODBURN RD, SUITE 301, ANNANDALE, VA 22003-1229
(703) 204-9301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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