Organization
GARY J. SOVEROW, MD, PC
Active
Organization
GARY J. SOVEROW, MD, PC
Active
Parent organization
GARY J. SOVEROW, MD, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY J. SOVEROW, MD, PC
Authorized official
DR. GARY JAN SOVEROW M.D. (PRESIDENT)
(703) 821-1324
Entity
Organization
Contact information
Practice address
6888 ELM ST, SUITE 3C, MC LEAN, VA 22101-3894
(703) 821-1324
(703) 821-1324
Mailing address
6888 ELM ST, SUITE 3C, MC LEAN, VA 22101-3894
(703) 821-1324
(703) 821-1324
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101029067
VA
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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