Organization
INOVA FAIRFAX HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BRUEGGEMANN (HOUSESTAFF)
(804) 475-9165
Entity
Organization
Contact information
Practice address
3650 JOSEPH SIEWICK DR, SUITE 4TH FLOOR, FAIRFAX, VA 22033-1710
(703) 391-2020
Mailing address
PO BOX 791128, BALTIMORE, MD 21279-1128
(703) 391-2020
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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