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Organization

NO VA GASTRO ASSOC LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STAFFORD S GOLDSTEIN M.D. (SENIOR PARTNER)
(703) 876-0437
Entity
Organization

Contact information

Practice address
3301 WOODBURN ROAD, SUITE 107, ANNANDALE, VA 22003-1297
(703) 876-0437
(703) 876-0722
Mailing address
3301 WOODBURN ROAD, SUITE 107, ANNANDALE,, VA 22003-1297
(703) 876-0437
(703) 876-0722

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0640228
VA

Other

Enumeration date
07/12/2006
Last updated
08/08/2008
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