Individual
DR. ANDREW THOMAS SORRENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4660 KENMORE AVE, STE 400, ALEXANDRIA, VA 22304-1313
(703) 751-1008
(703) 751-1118
Mailing address
5252 LYNGATE CT, STE 203, BURKE, VA 22015-1672
(703) 239-2300
(703) 239-2301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557181
VA
111N00000X
Chiropractor
S03777
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8825-0030
CAREFIRST
MD
01
—
K949-0070
CAREFIRST
VA
Enumeration date
03/19/2014
Last updated
09/01/2015
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