Organization
THE CARDIOVASCULAR GROUP, PC
Active
Other names
Virginia Heart
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE Y WILLIAMSON (DIRECTOR OF THE BUSINESS OFFICE)
(703) 591-1688
Entity
Organization
Contact information
Practice address
44035 RIVERSIDE PKWY, #400, LEESBURG, VA 20176-8260
(703) 858-5421
(703) 858-9573
Mailing address
2901 TELESTAR CT., #300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366498933
—
VA
05
—
221800301
—
MD
Enumeration date
04/09/2009
Last updated
11/28/2022
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