Organization
VIRGINIA GASTROENTEROLOGY & HEPATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MCBRIDE M.D. (PRESIDENT)
(703) 455-5556
Entity
Organization
Contact information
Practice address
9257 OLD KEENE MILL RD, BURKE, VA 22015-4202
(703) 455-5556
Mailing address
9257 OLD KEENE MILL RD, BURKE, VA 22015-4202
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101047013
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5851165
—
VA
Enumeration date
01/17/2008
Last updated
02/13/2008
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