Organization
VIRGINIA CENTER FOR REPRODUCTIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADY I SHARARA (MEDICAL DIRECTOR)
(703) 437-7722
Entity
Organization
Contact information
Practice address
11150 SUNSET HILLS RD, RESTON, VA 20190-5360
(703) 437-7722
(703) 437-0066
Mailing address
11150 SUNSET HILLS RD, SUITE 100, RESTON, VA 20190-5360
(703) 437-0066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058651
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391589
ONE NET ALLIANCE PROVIDER
—
01
—
440239
VA BLUE CROSS PROVIDER
VA
Enumeration date
05/10/2007
Last updated
04/01/2009
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