Mancini, Thomas John

Mancini, Thomas John is an individual health care provider with primary practice located at 21170 Ashby Ponds Blvd , Ashburn VA 20147-6128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mancini, Thomas John can be contacted via phone (571) 291-6131.

Contact Information

Primary practice address
21170 Ashby Ponds Blvd Ashburn VA 20147-6128
Phone: (571) 291-6131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101044028 Virginia

Profile Details

NPI number 1568456275
LBN Legal business name Mancini, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Dec 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568456275 NPPES
Virginia MEDICAID 010131308
Virginia Other P00199970

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