Organization
GENERAL AND LAPAROSCOPIC SURGICAL ASSOCIATES
Active
Other names
Stefano F Agolini MD
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANO FRANCO AGOLINI MD (PRESIDENT)
(703) 823-4066
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE 419, ALEXANDRIA, VA 22304-1313
(703) 823-4066
(703) 823-4067
Mailing address
4660 KENMORE AVE, SUITE 419, ALEXANDRIA, VA 22304
(703) 823-4066
(703) 823-4067
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101057385
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007504072
—
VA
Enumeration date
07/26/2006
Last updated
12/15/2010
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