Organization
A BRUCE SHAUER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BRUCE SHAUER MD (OWNER)
(703) 780-6100
Entity
Organization
Contact information
Practice address
2616 SHERWOOD HALL LN, SUITE 205, ALEXANDRIA, VA 22306-3100
(703) 780-6100
(703) 780-2172
Mailing address
2616 SHERWOOD HALL LN, SUITE 205, ALEXANDRIA, VA 22306-3100
(703) 780-6100
(703) 780-2172
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101022749
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006044158
—
VA
Enumeration date
04/17/2007
Last updated
07/08/2008
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