Individual
DR. NICHOLAS B CARUANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 420, LEESBURG, VA 20176-3467
(571) 375-8601
(571) 223-6773
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, SUITE 101, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101256314
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760617435
—
VA
Enumeration date
05/24/2009
Last updated
11/29/2022
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