Individual
ANTHONY PEROZICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
19441 GOLF VISTA PLAZA SUITE 310 & 230, LEESBURG, VA 20176-8272
(703) 729-3420
Mailing address
20041 RIVERSIDE COMMONS PLZ, ASHBURN, VA 20147-5151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184526
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760119937
—
VA
05
—
30017497060002
—
VA
Enumeration date
08/06/2022
Last updated
08/12/2025
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