Organization
RESTON HOSPITALISTS, LLC
Active
Other names
Reston Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LAVERTY (VP)
(615) 507-2312
Entity
Organization
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3219
(703) 639-9513
Mailing address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3219
(703) 639-9513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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