Individual
DR. BRUCE ANTHONY WERNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101049095
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010237157
—
VA
Enumeration date
04/14/2006
Last updated
01/27/2020
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