Individual
DR. JAY CARY TYROLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 JOSEPH SIEWICK DR, SUITE 204, FAIRFAX, VA 22033-1710
(703) 264-0521
(703) 860-0229
Mailing address
9442 BRENNER CT, VIENNA, VA 22180-3402
(703) 281-6844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110159387
RAILROAD MEDICARE
VA
01
—
13780001
BCBS CAREFIRST
DC
01
—
1474837
CIGNA
—
01
—
295383
ANTHEM
—
01
—
4154451
UNITED
—
01
—
4311862
AETNA
VA
01
—
504726
NCPPO
VA
01
—
770675456
COVENTRY
—
Enumeration date
02/12/2007
Last updated
05/20/2008
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