Organization
NOVA GYNECOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J NOONAN M.D. (OWNER)
(703) 249-9079
Entity
Organization
Contact information
Practice address
101 S WHITING ST, SUITE 215, ALEXANDRIA, VA 22304-3418
(703) 370-0550
(703) 249-5186
Mailing address
8642 RESECA LN, SPRINGFIELD, VA 22152-1411
(703) 249-9079
(703) 249-5186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101032425
VA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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