Rezac, Craig

Rezac, Craig is an individual health care provider with primary practice located at 1625 N George Mason Dr Ste 334 , Arlington VA 22205-3690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Rezac, Craig can be contacted via phone (703) 717-4180.

Contact Information

Primary practice address
1625 N George Mason Dr Ste 334 Arlington VA 22205-3690
Phone: (703) 717-4180
Fax: (703) 717-4181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA06952500 New Jersey
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 25MA06952500 New Jersey
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0101262770 Virginia

Profile Details

NPI number 1730258294
LBN Legal business name Rezac, Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Feb 7th, 2021 - about 5 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 1730258294 NPPES
New Jersey MEDICAID 0069795

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