Organization
GONZALES-VIGILAR PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORIO G VIGILAR PH.D. (CEO)
(571) 291-2449
Entity
Organization
Contact information
Practice address
44031 PIPELINE PLZ STE 205, ASHBURN, VA 20147-5888
(571) 291-2449
(571) 291-3681
Mailing address
42455 BELMONT GLEN PL, ASHBURN, VA 20148-4320
(571) 291-2449
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
09/02/2015
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