Organization
ADVANCED BRAIN CENTERS OF VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A DEFINA PHD (OWNER)
(571) 201-8238
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DRIVE, SUITE G220, RESTON, VA 20190
(571) 201-8238
(703) 709-1119
Mailing address
1860 TOWN CENTER DRIVE, SUITE G220, RESTON, VA 20190
(571) 201-8238
(703) 709-1119
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
08/16/2023
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