Individual
DR. PATRICK S GASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7049
(703) 295-9369
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101033785
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126716
KAISER
VA
01
—
136756
ANTHEM
VA
05
—
1821196858
—
VA
01
—
187844
PHCS
VA
01
—
295565
AMERIGROUP
VA
01
—
484645
NCPPO
VA
01
—
K142-0001
CARE FIRST
VA
01
—
P00220018
RAILROAD MEDICARE
VA
Enumeration date
09/21/2006
Last updated
08/26/2008
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