Individual
ANDRES ALISUAG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9001 DIGGES ROAD, SUITE 101, MANASSAS, VA 20110-4414
(703) 369-7744
(703) 369-5097
Mailing address
9001 DIGGES ROAD, SUITE 101, MANASSAS, VA 20110-4414
(703) 369-7744
(703) 369-5097
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101029889
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003860
ANTHEM BCBS
—
05
—
006079253
—
VA
Enumeration date
08/24/2006
Last updated
05/05/2013
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