Organization
ADVANCED DIGESTIVE CARE, LLC
Active
Organization
ADVANCED DIGESTIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN G PROSKY MD (ADMINISTRATOR)
(703) 407-7216
Entity
Organization
Contact information
Practice address
3301 WOODBURN RD STE 107, ANNANDALE, VA 22003-1297
(703) 876-0437
(703) 876-0722
Mailing address
3301 WOODBURN RD STE 107, ANNANDALE, VA 22003-1297
(703) 876-0437
(703) 876-0722
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
06/05/2023
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