Individual
DR. ALEXANDER T. OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
360 MAPLE AVE W, SUITE F, VIENNA, VA 22180-5614
(703) 255-5504
(703) 255-5507
Mailing address
200 LAWYERS RD. N.W, #1455, VIENNA, VA 22183-8071
(703) 255-5504
(703) 255-5507
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
0101030967
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1491-0001
CAREFIRST
—
01
—
201793
ANTHEM
VA
01
—
W1H12
EMPIRE BLUE CROSS
—
01
—
W431-542908-01
CAREFIRST
MD
Enumeration date
02/09/2007
Last updated
03/15/2013
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