Organization
NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WELGOSS M.D. (PHYSICIAN)
(703) 698-7100
Entity
Organization
Contact information
Practice address
5215 LOUGHBORO RD NW, SUITE 500, WASHINGTON, DC 20016-2618
(703) 698-7100
(703) 207-9487
Mailing address
3289 WOODBURN RD, SUITE 320, ANNANDALE, VA 22003-6800
(703) 698-7100
(703) 207-9487
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616754
MEDICARE PTAN
VA
Enumeration date
01/13/2012
Last updated
01/13/2012
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