Organization
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Active
Parent organization
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Other names
VA NCPDP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Authorized official
ALAN OLIVER (CEO)
(786) 530-3820
Entity
Organization
Contact information
Practice address
3028 JAVIER RD STE 300, FAIRFAX, VA 22031-4622
(865) 303-8207
(305) 675-3378
Mailing address
9500 S DADELAND BLVD STE 200, MIAMI, FL 33156-2866
(305) 468-4185
(305) 675-3378
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
05/15/2025
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