Organization
NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WELGOSS MD (PHYSICIAN)
(703) 698-7100
Entity
Organization
Contact information
Practice address
10215 FERNWOOD RD, SUITE 300, BETHESDA, MD 20817
(703) 698-7100
(703) 207-9487
Mailing address
3289 WOODBURN RD, SUITE 320, ANNANDALE, VA 22003-6800
(703) 698-7100
(703) 207-9487
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616754
MEDICARE PTAN
VA
Enumeration date
06/09/2008
Last updated
09/23/2011
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