Individual
WILLIAM MATTHEW ASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4420
(703) 698-4444
(703) 204-0116
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4420
(703) 698-4444
(703) 204-0116
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0101250928
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101250928
VA
2085R0202X
Diagnostic Radiology Physician
D0087633
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122
BLUECROSS BLUESHIELD
VA
05
—
3810020391
—
WV
Enumeration date
03/06/2008
Last updated
01/27/2020
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