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Individual

DR. ANDREW SHEDDEN NEVIASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1760 OLD MEADOW ROAD, SUITE 500, MC LEAN, VA 22102-4306
(703) 810-5217
(614) 293-2053
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-4067
(804) 968-1803

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101271638
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35131849
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD039789
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0229682
OH
Enumeration date
05/22/2008
Last updated
06/16/2022
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