Organization
THE CARDIOVASCULAR GROUP, PC
Active
Other names
Virginia Heart
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE Y WILLIAMSON (DIRECTOR OF BUSINESS OFFICE)
(703) 591-1688
Entity
Organization
Contact information
Practice address
1900 GALLOWS RD STE 110, VIENNA, VA 22182-4098
(703) 281-1265
(703) 255-0571
Mailing address
2901 TELESTAR CT., #300, FALLS CHURCH, VA 22042-1261
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031747400
—
DC
05
—
221800300
—
MD
01
—
CC2597
RAILROAD MEDICARE DC GRP#
DC
01
—
CG9497
RAILROAD MEDICARE VA GRP#
VA
Enumeration date
05/25/2006
Last updated
08/23/2024
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