Individual
ERIC L SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 504-3789
(703) 504-3556
Mailing address
PO BOX 2757, RESTON, VA 20195-0757
(703) 471-0919
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102201753
VA
Other
Enumeration date
07/28/2005
Last updated
03/17/2022
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