Organization
MARCELO ANDREOLI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIA FORSYTHE (MANAGER)
(703) 531-1054
Entity
Organization
Contact information
Practice address
2946 SLEEPY HOLLOW RD, STE 2D, FALLS CHURCH, VA 22044-2003
(703) 531-1054
(703) 531-1090
Mailing address
2946 SLEEPY HOLLOW RD, STE 2D, FALLS CHURCH, VA 22044-2003
(703) 531-1054
(703) 531-1090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101055708
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255431375
—
VA
Enumeration date
08/19/2008
Last updated
08/19/2008
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