Organization
MAGNUS HEART AND VASCULAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TSEDAY SIRAK MD (DIRECTOR)
(855) 739-9953
Entity
Organization
Contact information
Practice address
4004 GENESEE PL, SUITE 105, WOODBRIDGE, VA 22192-8303
(855) 739-9953
(571) 659-9445
Mailing address
4004 GENESEE PL, SUITE 105, WOODBRIDGE, VA 22192-8303
(855) 739-9953
(571) 659-9445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101242816
VA
207UN0901X
Nuclear Cardiology Physician
0101242816
VA
Other
Enumeration date
08/06/2013
Last updated
04/28/2014
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