Individual
DR. AUGUSTINE A DOLCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4080 LAFAYETTE CENTER DRIVE, STE 170, CHANTILLY, VA 20151
(703) 766-5040
(703) 766-5047
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(703) 766-5047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101051034
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05624266
—
VA
01
—
080177774
RR MEDICARE
—
Enumeration date
09/01/2005
Last updated
05/23/2023
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