Sughrue, Maura Jean

Sughrue, Maura Jean is an individual health care provider with primary practice located at 3650 Joseph Siewick Dr Ste 400, Fairfax VA 22033-1710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sughrue, Maura Jean can be contacted via phone (703) 391-2020.

Contact Information

Primary practice address
3650 Joseph Siewick Dr Ste 400 Fairfax VA 22033-1710
Phone: (703) 391-2020
Fax: (703) 391-1211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101035222 Virginia

Profile Details

NPI number 1881688844
LBN Legal business name Sughrue, Maura Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 19th, 2020 - about 6 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 1881688844 NPPES
Virginia Other 080182899 RR MEDICARE
Virginia MEDICAID 05622409 RR MEDICARE
Virginia MEDICAID 005622409 RR MEDICARE

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