Organization
GASTROENTEROLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J ANTONIK MD (PRESIDENT)
(703) 771-9001
Entity
Organization
Contact information
Practice address
19500 SANDRIDGE WAY STE 470, LEESBURG, VA 20176-3694
(703) 771-9001
(703) 771-9076
Mailing address
19500 SANDRIDGE WAY STE 470, LEESBURG, VA 20176-3694
(703) 771-9001
(703) 771-9076
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203434
ANTHEM BCBS
VA
Enumeration date
09/21/2006
Last updated
10/06/2021
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