Organization
VIRGINIA CARDIOVASCULAR GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK ABOU GHAZALA MD (PRESIDENT)
(703) 939-9942
Entity
Organization
Contact information
Practice address
19450 DEERFIELD AVE, STE 335, LEESBURG, VA 20176-6820
(703) 939-9942
Mailing address
19450 DEERFIELD AVE, STE 335, LEESBURG, VA 20176-6820
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101237500
VA
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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