Individual
MAURA JEAN SUGHRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3650 JOSEPH SIEWICK DR, STE 400, FAIRFAX, VA 22033-1710
(703) 391-2020
(703) 391-1211
Mailing address
PO BOX 791128, BALTIMORE, MD 21279-1128
(703) 391-2020
(703) 391-1211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035222
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005622409
—
VA
05
—
05622409
—
VA
01
—
080182899
RR MEDICARE
VA
Enumeration date
09/07/2005
Last updated
10/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us