Organization
DROZ REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HERNANDEZ DROZDOWICZ MD (PHYSICIAN)
(215) 840-4624
Entity
Organization
Contact information
Practice address
3115 ATLANTIC AVE, COLONIAL HEIGHTS, VA 23834-2901
(215) 804-4624
(804) 451-0535
Mailing address
3115 ATLANTIC AVE, COLONIAL HEIGHTS, VA 23834-2901
(215) 804-4624
(804) 451-0535
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101256434
VA
261QP3300X
Pain Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710361936
GROUP NPI
VA
01
—
4773539
AETNA
VA
01
—
7044703
AETNA HMO BASED PLANS
VA
Enumeration date
07/17/2015
Last updated
11/29/2020
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