Organization
FAIRFAX LUNG CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM OSBORN HARTZELL M.D. (PRESIDENT)
(703) 389-1027
Entity
Organization
Contact information
Practice address
3650 JOSEPH SIEWICK DR, SUITE 303, FAIRFAX, VA 22033-1710
(703) 389-1027
Mailing address
2916 HIBBARD ST, OAKTON, VA 22124-2648
(703) 242-0919
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
101239857
VA
Other
Enumeration date
05/07/2008
Last updated
02/02/2009
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