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Organization

VIRGINIA BARIATRIC SURGERY P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW ALEXANDER FITZER M.D. (SOLE PROPRIETOR)
(703) 709-9771
Entity
Organization

Contact information

Practice address
1850A TOWN CENTER PKWY, SUITE 301, RESTON, VA 20190-5851
(703) 709-9771
(703) 709-8084
Mailing address
1850A TOWN CENTER PKWY, SUITE 301, RESTON, VA 20190-5851
(703) 709-9771
(703) 709-8084

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101250534
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101250534
LICENSE
VA
Enumeration date
05/21/2012
Last updated
05/23/2012
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