Potomac Vascular Surgery

LBN: Sentara Medical Group
Potomac Vascular Surgery is an health care organization with primary practice located at 2296 Opitz Blvd Ste 260A, Woodbridge VA 22191-3300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Sentara Medical Group can be contacted via phone (540) 657-8180, or through Taylor, Cindy A via phone (757) 252-3344.

Contact Information

Primary practice address
2296 Opitz Blvd Ste 260A Woodbridge VA 22191-3300
Phone: (540) 657-8180
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Cindy A
Phone: (757) 252-3344

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1093075319
LBN Legal business name Sentara Medical Group
DBA Doing business as Potomac Vascular Surgery
Authorized official Taylor, Cindy A
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2012
Last updated May 21st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093075319 NPPES
Virginia Other C02033 MEDICARE GROUP NUMBER

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