Individual
DR. ERIC MILLER THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 N GEORGE MASON DR, SUITE 354, ARLINGTON, VA 22205-3683
(703) 717-7780
(703) 717-7781
Mailing address
1625 N GEORGE MASON DR, SUITE 354, ARLINGTON, VA 22205-3683
(703) 717-7780
(703) 717-7781
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
0101245135
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101245135
VA
207RC0000X
Cardiovascular Disease Physician
D0065962
MD
207UN0901X
Nuclear Cardiology Physician
0101245135
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4127323-00
—
MD
01
—
896942-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
02/10/2007
Last updated
02/23/2021
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