Individual
ROGER VICTOR GISOLFI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7189
(410) 793-0809
Mailing address
P O BOX 829, ALEXANDRIA, VA 22306
(703) 664-7189
(410) 793-0809
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
267220
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6834159
—
VA
Enumeration date
05/24/2006
Last updated
07/09/2007
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