Individual
SOMA ANSARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3000 COLISEUM DR, SENTARA CAREPLEX HOSPITAL, HAMPTON, VA 23666-5963
(757) 599-4922
Mailing address
11506 LEEHIGH DR, FAIRFAX, VA 22030-5614
(516) 965-3056
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
363A00000X
Physician Assistant
0110002193
VA
Other
Enumeration date
06/29/2007
Last updated
01/12/2008
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