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Organization

ROBERT M. GORSEN M.D.,PHD.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT M GORSEN MD (OWNER)
(703) 573-4700
Entity
Organization

Contact information

Practice address
3301 WOODBURN RD, SUITE 211, ANNANDALE, VA 22003-1229
(703) 573-4700
(703) 573-7922
Mailing address
3301 WOODBURN RD, SUITE 211, ANNANDALE, VA 22003-1229
(703) 573-4700
(703) 573-7922

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101042525
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
096463
ANTHEM
VA
01
18110001
BLUE CHOICE
VA
01
4353845
AETNA
VA
Enumeration date
07/16/2006
Last updated
03/11/2010
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