Organization
SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC
Active
Parent organization
SHADY GROVE FERTILITY RSC
Other names
SGF Fairfax Procedure Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHADY GROVE FERTILITY RSC
Authorized official
SHELLY SHAPIRO (CHIEF FINANCIAL OFFICER)
(301) 545-1407
Entity
Organization
Contact information
Practice address
8501 ARLINGTON BLVD STE 500, FAIRFAX, VA 22031-4631
(703) 876-0734
(703) 876-4980
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
(301) 340-1188
(301) 340-1612
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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