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Organization

PAUL H WEISSHAAR MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL HOWARD HEISSHAAR MD (PRESIDENT)
(703) 978-1777
Entity
Organization

Contact information

Practice address
5206A ROLLING ROAD, BURKE, VA 22015
(703) 978-1777
(703) 978-6093
Mailing address
5206 A ROLLING ROAD, BURKE, VA 22015
(703) 978-1777
(703) 978-6093

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101027569
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023206
BCBS
VA
01
1411
BCBS
05
6274668
VA
Enumeration date
10/20/2006
Last updated
08/27/2012
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