Organization
CENTER FOR CONTINENCE AND PELVIC SUPPORT PC
Active
Other names
Center For Urogynecology and Pelvic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN WELGOSS MD (PRESIDENT)
(571) 389-7140
Entity
Organization
Contact information
Practice address
3289 WOODBURN RD, SUITE 130, ANNANDALE, VA 22003-6800
(571) 389-7140
(703) 992-7584
Mailing address
3289 WOODBURN RD, SUITE 130, ANNANDALE, VA 22003-6800
(571) 389-7140
(703) 992-7584
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271520
MEDICARE - GROUP PTAN
VA
Enumeration date
01/30/2013
Last updated
11/21/2013
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