Individual
DR. JONATHAN L SHURBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8640 SUDLEY RD STE 201, MANASSAS, VA 20110-4404
(703) 368-6819
(703) 330-2923
Mailing address
8640 SUDLEY RD STE 201, MANASSAS, VA 20110-4404
(703) 368-6819
(703) 330-2923
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101027526
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006065155
—
VA
01
—
071108
ANTHEM/MANASSAS
VA
01
—
071112
ANTHEM/WARRENTON
VA
01
—
2277940001
CIGNA
VA
01
—
34542
MAMSI
VA
01
—
92130001
CAREFIRST
VA
Enumeration date
06/17/2005
Last updated
10/05/2012
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