Provider Demographics
NPI:1194854430
Name:ALBUS, ROBERT A (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:ALBUS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2980 FAIRVIEW PARK DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-4511
Mailing Address - Country:US
Mailing Address - Phone:703-207-7878
Mailing Address - Fax:703-207-7863
Practice Address - Street 1:2980 FAIRVIEW PARK DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-4511
Practice Address - Country:US
Practice Address - Phone:703-207-7878
Practice Address - Fax:703-207-7863
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101044300208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
B40662Medicare UPIN