Individual
BRIAN P. CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676A BERKMAR CIRCLE, CHARLOTTESVILLE, VA 22901
(434) 220-8001
(434) 220-8010
Mailing address
17 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 213-7725
(540) 213-7481
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101029965
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006376983
—
VA
01
—
181947549
RR MEDICARE
VA
Enumeration date
11/07/2006
Last updated
04/09/2015
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