Organization
CARDIOLOGY SPECIALISTS OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JOHN O BRIEN MD (PRESIDENT)
(703) 823-6904
Entity
Organization
Contact information
Practice address
6715 LITTLE RIVER TPKE STE 300, ANNANDALE, VA 22003-3546
(703) 751-6668
(703) 642-1049
Mailing address
6715 LITTLE RIVER TPKE STE 300, ANNANDALE, VA 22003-3546
(703) 751-6668
(703) 642-1049
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA7234
RAILROAD MEDICARE
VA
01
—
J423
CAREFIRST
—
Enumeration date
12/13/2006
Last updated
11/24/2020
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