Individual
ANDREW J SYMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3536 GROVE AVE, RICHMOND, VA 23221-2200
(804) 359-1768
(804) 359-1928
Mailing address
3536 GROVE AVE, RICHMOND, VA 23221-2200
(804) 359-1768
(804) 359-1928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
—
01
—
2305204096
STATE HEALTH LICENSE
VA
Enumeration date
03/26/2007
Last updated
05/21/2020
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