Organization
RESTON ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW M AXELRAD M.D. (PRESIDENT)
(703) 766-2650
Entity
Organization
Contact information
Practice address
1939 ROLAND CLARKE PL, SUITE 200, RESTON, VA 20191-1443
(703) 766-2650
Mailing address
1939 ROLAND CLARKE PL, SUITE 200, RESTON, VA 20191-1443
(703) 766-2650
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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